Health

Include TXA in delivery kits to reduce maternal deaths, WARDC urges govts

Published

4 months ago

January 5, 2026

EMMANUEL AGAJI

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By Francesca Hangeior

The Women Advocates Research and Documentation Centre has called on governments and key stakeholders to urgently integrate tranexamic acid into standard delivery kits across Nigeria to reduce maternal deaths caused by post-partum haemorrhage.

According to the World Health Organisation, PPH, also known as severe bleeding after childbirth, is the leading cause of maternal mortality worldwide.

It noted that every year, about 14 million women experience PPH, resulting in about 70,000 deaths globally.

To reduce the incidence of PPH, the WHO in 2017 recommended the early use of intravenous TXA within three hours of birth, alongside standard care, for women diagnosed with PPH after vaginal or caesarean delivery.

WARDC says PPH remains one of the leading causes of maternal death in Nigeria, contributing significantly (almost 25 per cent) to the country’s unacceptably high maternal mortality ratio.

Speaking at a press briefing marking the closing ceremony of the rights group’s 12-month-long community-focused intervention, the Founding Director of WARDC, Dr Abiola Akiyode-Afolabi, said awareness was insufficient without interventions to ensure lifesaving medicines are readily available where women give birth.

She stressed that tranexamic acid, commonly known as TXA, has been proven to reduce bleeding after childbirth significantly, but remains largely inaccessible to many women due to cost and policy gaps.

“While awareness is critical, awareness alone cannot save lives. For tranexamic acid to truly reduce maternal mortality in Nigeria, system-level action is urgently required,” she said.

In outlining specific demands, Akiyode-Afolabi urged the governments to prioritise public funding and access to the drug across the three healthcare levels.

She said, “Federal and state governments to subsidise and include tranexamic acid in all standard delivery kits in public health facilities, and ensure TXA is consistently available at primary, secondary, and tertiary levels of care.”

She also called for stronger policy integration and capacity building within the health system to support effective use of the drug.

“Health authorities and regulators to integrate TXA fully into maternal health protocols, emergency obstetric guidelines, and training curricula for healthcare workers. There’s an urgent need to strengthen supply chains so that cost, stock-outs, and access barriers do not continue to cost women their lives,” Akiyode-Afolabi said.

According to her, development partners and donor agencies also have a critical role to play in scaling interventions that have shown measurable impact at the community level.

She said, “Development partners and donors to support scale-up of successful community engagement models like Project TRANSFORM, and invest in sustained advocacy, training, and monitoring to ensure long-term impact.”

She noted that progress in reducing maternal deaths depends on collective responsibility and evidence-driven action.

“When communities are informed, stakeholders collaborate, and evidence guides advocacy, change is possible,” she said.

However, she cautioned that such progress would remain limited without strong political backing and sustained investment.

The WARDC founding director noted, “However, for that change to translate into lives saved, it must be matched with political will, adequate financing, and institutional commitment.”

Akiyode-Afolabi described maternal deaths from post-partum bleeding as unacceptable, given the availability of effective and affordable medical solutions.

“No woman should die while giving birth. No family should lose a mother, daughter, spouse, or sister to a preventable cause.”

She added that denying women access to proven medicines undermines efforts to improve maternal health outcomes nationwide.

“And no proven, affordable medicine like TXA should remain out of reach,” she said.

Akiyode-Afolabi explained that WARDC, with technical and research support from the London School of Hygiene and Tropical Medicine, had, in the last 10 months, embarked on a community-focused intervention aimed at reducing maternal mortality in Nigeria through improved awareness, access, and advocacy for tranexamic acid.

“Over 20,000 people were reached through physical, community-based engagements, including town hall meetings, grassroots dialogues, engagements at primary healthcare centres, faith-based spaces, and market outreaches,” she said.

Through these efforts, she said Project TRANSFORM contributed to increased awareness, improved community knowledge, and stronger public discourse around preventable maternal deaths and evidence-based solutions.

Health

Cross River reports outbreak of Covid-19, activates response centre

Published

6 days ago

April 22, 2026

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The Cross River State Ministry of Health has confirmed a coronavirus disease (COVID-19) case in the state.

The state Commissioner for Health, Dr Henry Ayuk who made the confirmation while briefing journalists at the ministry’s headquarters at the state secretariat, Calabar Tuesday, said the case, which was confirmed on the 17th of April, 2026, is the first case to be reported in the state in recent times.

According to him, the reported case of the outbreak involved a Chinese national who works with Lafarge and flew into the country on March 17 before falling ill.

The commissioner stated that the Chinese’s condition became worse at the medical facility under his office and had to be taken to the University of Calabar Teaching Hospital.

He explained that at the UCTH, samples were taken and all protocols followed; it was subsequently confirmed that he had symptoms of COVID-19.

“We are, however, happy to report that he is doing well,” the commissioner said.

Ayuk said the Ministry of Health had been repositioned by the current administration to handle and manage any situation, including diseases or epidemic outbreaks.

“I wish to assure residents of the state that we have been beefing up our preparedness capabilities since the confirmation of this case and we will use all the resources made available by the government to respond to this case.

According to him, there had been silent infections and clear cases from time to time.

“But we are determined that for every ailment, every disease or outbreak, if it is identified here in the state, there should be no alarm.

“The state will do well in terms of surveillance or containment of an outbreak. Whatever it is, we will do our best to contain it. So, there is no alarm.

“When this case was reported about three or four days ago, we decided to be careful to confirm and ensure that the processes involved in identifying and confirming every case of COVID-19 are duly followed.

Also speaking, the State Epidemiologist, Dr Inyang Ekpenyong, announced that in response to the case, the state emergency response unit had been activated.

She noted that contact tracing and line listing of persons the Chinese may have come in contact with were ongoing.

While noting that the last confirmed case of COVID-19 in Cross River was in 2022, the epidemiologist said the Chinese may have contracted the virus in Nigeria.

“The incubation period for this virus is usually between two and 14 days, but the Chinese flew into Nigeria from China on March 17 and started developing symptoms on April 10.

“This is well beyond the 14-day incubation period. Like I said, we are doing the line listing of those he may have come in contact with, as part of our containment efforts.

“We have also activated the emergency response centre and deployed rapid response teams to Akamkpa, where the victim works.

“There is no way we can stop this disease, but we can stop the disease outbreak.

“It will be wrong not to contain or manage it by ensuring that people do not die,” she stated.

She therefore advised residents to regularly and thoroughly wash their hands with soap and water, and use alcohol-based hand sanitiser, maintain at least 1 & half metres (5 feet) distance between yourself and anyone who is coughing or sneezing.

“Persons with persistent cough or sneezing should stay home or keep a social distance, but not mix in crowd, make sure you and people around you, follow good respiratory hygiene, meaning cover your mouth and nose with a tissue or into your sleeve at the bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately.

Similarly, the World Health Organisation Coordinator in Cross River, Dr Yewande Olatunde, stated that the disease was still around.

Health

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

Published

3 weeks ago

April 8, 2026

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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?

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:

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.

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.

Health

Resident doctors begin indefinite strike Tuesday

Published

3 weeks ago

April 5, 2026

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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.

“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.

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.”

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.

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.