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16 months after presidential assent, FG yet to establish mental health dept

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By Francesca Hangeior.

On January 5, 2023, former President, Major General Muhammadu Buhari (retd.) signed the Mental Health Bill 2021 into law, replacing the outdated Lunacy Act of 1958.

However, 16 months after, the Federal Government has yet to establish a Department of Mental Health Services in the Federal Ministry of Health, reports have revealed.

The National Mental Health Act 2021 allows for the establishment of a Department of Mental Health Services in the Federal Ministry of Health, to propose national health policies and facilitate their approval and implementation.

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It also allows for the support of advanced mental health, provides healthcare services, and ensures humane care and rehabilitation in the most permissive setting.

The bill also promotes culturally appropriate, affordable, and accessible mental health care.

Experts say without the establishment of the department, Nigeria is still operating under the Lunacy Act, as the aim of the Mental Health Act 2021 can only be achieved through effective implementation.

Confirming the findings, the President of the Association of Psychiatrists in Nigeria, Professor Taiwo Obindo, said the FMoH was meant to establish the department, adding that nothing had been done.

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He also said that the government had yet to establish the National Mental Health Fund.

Obindo added, “Though there was a roadmap that was outlined by the programme, nothing concrete had been done. The National Review Committee is meant to look after those who want to establish mental health facilities.

“They are meant to accredit them and re-accredit them; they are meant to ensure that the already established facilities meet the minimum requirements before they are permitted to function.

“For every facility that is going to be established, there are requirements. So, if the department is not established, we continue to have all these charlatans occupying the space, offering mental health services, and then impinging on the rights of people who have mental health conditions.

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“That is meant for the establishment of the National Mental Health Fund, and that is meant to assist all these activities. We know that for 2024, we may not have an allocation because it wasn’t done before now. But then, opportunities are bound for philanthropists, corporate organisations, and individuals to plunge into it.”

He stated that without the establishment of the department and allocation of funds for mental health, the rights of individuals with mental health conditions will continue to be infringed upon.

“It’s like we’re still running the Lunacy Act. The Mental Health Services Department is meant to be an autonomous department with a budget line, not a unit or a programme under another department.

“Some countries even have a Ministry of Mental Health; these are countries that understand the importance and the impact of mental health in the life of every citizen. We need the government to do the needful,” he said.

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Also, a consultant psychiatrist and Medical Director of the Federal Neuro-Psychiatric Hospital, Yaba, Dr Olugbenga Owoeye, said the establishment of the department will help in the implementation of the act.

He said, “We are asking for the department to enable us to operate the act, but the Federal Ministry of Health is doing everything possible now to establish the department. They have a unit for the mental health programme which is a precursor to the establishment of the mental health department.

“I am hopeful that the department will be ready this year for the country to operate the act so that people can benefit from it. The ministry is working day and night to float it and ensure the department is established.

When contacted, the National Coordinator of the National Mental Health Programme at the Federal Ministry of Health, Dr Tunde Ojo, requested that a text message be sent to him on the matter.

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He has yet to respond to the text message sent to him as of the time of filing this report.

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Health

UNICEF to vaccinate 3.8 million children in Northern Nigeria

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The United Nations Children’s Fund has disclosed that no fewer than 3.8 million children would be vaccinated against measles across four Northern states.

The UNICEF Health Officer in Bauchi state, Patrick Ako, disclosed this in a news conference on Friday, noting that the vaccination exercise would commence on Saturday and run for seven days.

He highlighted that the four Northern states where the integrated measles campaign would take place include Adamawa, Bauchi, Gombe, and Plateau.

“For the measles campaign, we have a target of 3.8 million children from nine months to 59 months, which we are targeting across the four states.

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“We have received in all the states a total of over 4 million doses of measles vaccines which have been supplied across the four states,” Ako stated.

The Health Officer explained that UNICEF is also going to launch an oral vaccination campaign against polio across five Northern states.

He said, “For the oral polio vaccination, we have a target of 6.8 million children that we are going to reach from zero to 59 months, which is less than five years across five states of Taraba, Plateau, Bauchi, Gombe,e, and Adamawa.

“The total number of vaccines that have already gotten to them is 7.4 million doses across these five states.

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“We are looking at it that no child should be left behind; all children of an eligible age group should be reached and be vaccinated.”

Also speaking, a Social Behavioural Change Specialist at UNICEF Bauchi Field Office, George Eki, said it became imperative for UNICEF to support the Nigerian government in protecting children against measles and other vaccine-preventable diseases.

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Health

5 questions to ask your doctor before starting birth control

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It’s normal to have questions about what birth control method is right for you.

Starting birth control is a big decision, and it can feel overwhelming if you’re not sure what questions to ask your doctor.

With so many options available, from pills and patches to implants and IUDs, it’s understandable if you’re feeling confused or anxious.

Finding the right method isn’t just about preventing pregnancy; it’s also about making sure you feel comfortable and healthy with your choice. Your doctor is there to guide you, but it’s important to come prepared with questions that address your concerns, lifestyle, and future plans.

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1. What types of birth control are available?
When it comes to birth control, one size does not fit all. Ask your doctor about the different methods available, such as the pill, IUD (intrauterine device), patch, ring, implant, or shot.

Your doctor can explain how each method works, how effective they are, and what the pros and cons are. For example, if you prefer something long-term, an IUD might be a better option. But if you like having more control, the pill could work well.

2. What are the possible side effects?
Every type of birth control has possible side effects. Some people may experience nausea, headaches, weight changes, or mood swings, while others have no side effects at all. It’s important to ask your doctor about what you might expect. If you’re sensitive to hormones, your doctor can suggest non-hormonal options, like the copper IUD. Being aware of side effects in advance can help you know what to look out for and decide what you’re comfortable with.

3. How will birth control affect my period?
Birth control can change your menstrual cycle in different ways. Some methods may make your periods lighter or stop them completely, while others may cause irregular bleeding at first.

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If having regular periods is important to you, make sure to mention this to your doctor. They can help you choose a method that aligns with your preferences. If your periods are painful or heavy, certain types of birth control may even help reduce those symptoms.

4. Will birth control interact with my current medications or health conditions?
If you have existing health issues, like high blood pressure, diabetes, or a history of blood clots, some birth control options may not be safe for you. Also, if you’re taking medication for any condition, ask whether it might affect how well your birth control works. Your doctor can guide you to options that won’t interfere with your health or current treatments. Safety should always come first when choosing birth control.

5. What happens if I want to get pregnant in the future?
You’ll need to ask how quickly you can become fertile again after stopping birth control. Some methods, like the pill or the patch, allow for a quick return to fertility, while others, like the shot, may take longer.

If you’re thinking about starting a family in the future, talk to your doctor about which birth control options will work best for your timeline. Planning ahead can make transitioning easier when the time comes.

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Cholera claims 10 lives in Enugu

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The Enugu State Ministry of Health has confirmed the death of 10 people following a cholera outbreak in the state.

In a letter addressed to the Guild of Medical Directors on behalf of the Commissioner for Health, Prof. Emmanuel Obi, Dr Egwuonwu Samuel, Director of Medical Services, announced the outbreak and the swift actions being taken to prevent further spread.

The ministry reported several alarming cases of cholera, resulting in 10 fatalities so far. Efforts are already underway by the State Ministry of Health and its partners to contain the outbreak.

“Health facilities and personnel are advised to stay alert for symptoms like acute diarrhea, abdominal cramps, and vomiting,” said Dr. Egwuonwu.

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“We are calling for the immediate implementation of heightened Infection Prevention and Control (IPC) measures in all medical facilities to stop the spread.”

He urged medical practitioners to take extra precautions and report suspected cases swiftly.

“This outbreak poses a significant public health threat, as cholera is a highly contagious disease typically spread through contaminated water or food. The ministry’s swift action is critical to containing the outbreak and protecting public health.”

Dr. Egwuonwu also appealed to the public to practice strict hygiene measures, including boiling water before drinking, frequent hand washing, and avoiding poorly handled food.

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He noted that the Enugu State government would provide further guidelines and updates as the situation develops, while efforts continue in collaboration with local and international health partners to mitigate the outbreak.

(NAN)

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