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evidence of true livingThe month of June every year in Excellence and Friends Management Care Centre EFMC is so unique that it brings around a week of provocative, profound and promising experiences to the staff and friends of the organization. It is a month that ushers in series of social activities ranging from lectures, training, networking, promoting social works to touching the lives of the less privileged in the society. The week is marked from 12th to 18th June every year. Besides, it is the birth month of the Chief Executive Officer of the organization which makes it more special.

These activities begin with 21 days fasting and prayers, unit’s week of social change, organization’s visitations to destitute/indigent homes, awards and gradually dove-tails into the organization’s elegant dinner party. The Awards are the organizations way of appreciating staff and friends for being instrumental to the successes recorded so far. Furthermore, friends of EFMC within and outside the country are normally invited to grace this epoch making occasion. Most importantly, during this period staff connect with communities and render selfless services that will impact positively on their lives and the society at large.

This year’s Excellence and Friends Week Of Change (EWOC) is billed to be more elaborate as mechanisms for making it a grand and resounding event have been put in place. The CEO; Dr. Obinna Oleribe while charging staff to brace-up for the week advocated for far reaching impact and selfless sacrifices to make the event worthwhile.

Therefore, as we embrace the week of change, staff are charged to screw their courage to striking points in order to make the event quite impressive and unique; the EFMC way. Suffice it to say, that every staff is enjoined to do something impactful to the society for EWOC demands sacrifice and selfless service to humanity.

As we do these, God bless EFMC!

Untitled 4Malaria infection during pregnancy is a significant public health problem with substantial risks for the pregnant woman, and the newborn child. Globally, 125 million women are at risk of malaria. Malaria kills one child every 30 seconds, about 3000 children every day and over one million people die from malaria each year. In sub-Saharan Africa, the area most burdened by malaria, the disease is thought to cause as many as 10,000 cases of malaria-related deaths in pregnancy, mainly due to severe maternal anaemia.

In Nigeria, the disease continues to account for more cases of deaths than any other country in the world. 97% of Nigeria’s population are at risk of getting infected. The remaining 3% of the population live in the malaria free islands. There are an estimated 100 million malaria cases with over 300,000 deaths per year in Nigeria which is more compared with 215,000 deaths per year from HIV/AIDS.

Malaria is a serious threat to human existence and particularly damaging to pregnant women and their unborn children. For children under five years of age,it could be devastating as it hampers their schooling and social development. Many children who survive a serious attack of malaria might develop physical and mental impairment.

Malaria is a major cause of poverty. The cost of malaria control and treatment drains African economies, slowing economic growth by about 1.3 per cent a year.

The tremendous decrease in malaria transmission and the number of deaths experienced in the recent years has been traced to the concerted effort intensified toward its total elimination. This has brought about the necessity in using effective tools for prevention of the disease such as insecticide-treated mosquito nets, indoor residual spraying, vaccination, education, diagnostic tests and antimalarial for treatment.

WHO’s Global malaria strategy 2016-2030 (in line with the ‘2030 Agenda for sustainable development’) provides a technical framework for all endemic regions as they work towards malaria control and elimination. The goals of the strategy include; (1) reducing the rate of new malaria cases by at least 90%; (2) reducing malaria death rates by at least 90%; (3) eliminating malaria in at least 35 countries; and (4) preventing a resurgence of malaria in all countries that are malaria-free.

Excellence and Friends Management Care Centre, has joined the drive to move from treatment to prevention and ultimately to elimination. We believe that vector control is the best strategy towards malaria elimination and eradication, it can be achieved through environmental re-engineering with proper refuse disposal strategies, effective drainage systems management, prohibition of use of plastic bags for packaging water, better product packaging, and improved literacy level. Mass enlightenment campaigns, strategic and structured government intervention, law enforcement and correctional planning for drainage systems in residential areas should beUntitled 13 priority. When the vector is tackled effective, there will be no need for mosquito nets and indoor residual spraying. This would result in saving millions to billions of dollars that would have been used for treatment, care and procurement of commodities. .

This year, EFMC will intensify efforts on prevention by collaborating with Center for Family Health Initiative (CFHI) to educate, diagnose, provide antimalarial medicines and mosquito nets to pregnant women and children within Abuja Metropolis.

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Reference

WHO/Sven Torfinn

http://photos.state.gov/libraries/nigeria/231771/Public/December-MalariaFactSheet2.pdf

Selfinjury DaySelf-injury Awareness Day comes every March 1st in a year. This day is to raise awareness of the mental health problem of self-injury. People talk about why they choose to injure themselves in the hope they may prevent others from doing so. Organizations also run campaigns to raise awareness about self-injury to the medical community and to the general public. Around one percent of us use self-injury to deal with difficulties in our lives. Despite this, it is a greatly misunderstood condition. Police and hospital staff often think self-injurers are suicidal and so do not give them the help they need. Some people wear orange awareness ribbons to show their support for awareness of this terrible problem.

Self-injury is the deliberate injury to your body without any intention to commit suicide. The illness is listed as a mental condition that is linked to personality disorders and depression. The most common way of self-injury is cutting the skin in places the injurer can easily hide. Many self-injurers prefer to conceal their injuries. Other methods include skin picking, hair pulling, alcohol abuse and forms of anorexia and bulimia. Following are the six basic reasons why some people claim to engage in the act;

  1. Distract themselves, alter the focus of their attention, or regain control over their minds when experiencing pressing, unavoidable and overwhelming feelings or thoughts.
  2. Release tension associated with strong emotions or overwhelming thoughts.
  3. Feel something physical when they are otherwise dissociated and numb.
  4. Express themselves or communicate and/or document strong emotions they are feeling and cannot otherwise articulate.
  5. Punish themselves.
  6. Experience a temporary but intense feeling of euphoria that occurs in the immediate aftermath of self-harm.

Many self-injurers say they get physical pleasure from their behaviour. The body releases natural drugs, endorphins, in response to physical injury. These give a person pleasant feelings and reduce anxiety and stress. Statistics show that four times more women than men do self-injury.

Therefore, do you know any one closer to you who is undergoing an intense depression or anxiety or a hard time, don’t ignore them, kindly know that you can save a life by word of encouragement. Move closer to them, compel them to find out what the situation is, let them realize that every situation in life is temporary, when life is not good remember that it will not last forever and better days are on the way, likewise, when life is good there is need to enjoy and receive it’s fullness.

EFMC Family kindly urge you to save someone’s life today.

Happy Self-injury Awareness Day!

efmc group

From EFMC Family...One Family

 Reference

https://en.wikipedia.org/wiki/Se lf-injury_Awareness_Day

world immunizationThe world immunization week annually celebrated in the last week of the month of April is aimed at encouraging the use of vaccines to protect everyone from infants to adults against diseases. Over the past seven years, immunization has proven to be the most successful as well as most cost-effective public health intervention saving over 10 million lives across the globe.

The world immunization week is a global public health campaign to raise awareness and increase rates of immunization against vaccine-preventable diseases around the world. Intensifying access to immunization is key to achieving the SDGs. Routine immunization is a building block of strong primary health care and universal health coverage as it provides a point of contact for health care at the beginning of life and offers every child the chance at a healthy life from the start.

Successes so far in immunization…….

More children are being immunized worldwide than ever before with the highest level of routine coverage in history (as measured by coverage of three doses of the diphtheria-tetanus-pertussis (DTP)-containing vaccine). The world is closer than ever to eradicating polio. Since 2010, 99 Low-income and middle-income countries have introduced one or more new or underused vaccines such as rotavirus and pneumococcal vaccines thus exceeding the GVAP target for 2015. Indigenous measles and rubella have been eliminated from the Americas, and maternal and neonatal tetanus has been eliminated in Southeast Asia.

Important progress has been made in vaccine research and development: a new vaccine against dengue has been licensed in several countries, and the first vaccine to protect children against malaria will be piloted in three African countries in 2018. Furthermore, in the past two years, there has been an increase in the number of vaccines in the clinical development pipeline.

The Challenges……

Although inequalities in the implementation of vaccination programs have narrowed in the past decade as the poorest and least educated individuals have gained more coverage though gaps persist. Only 52 of 112 member states of the World Health Organization (WHO) with available and valid district-level data have surpassed the district-level coverage target of 80%. A high priority must be placed on the equitable extension of vaccine coverage to all. Furthermore, while financial support and commitment from donors and countries towards immunization have increased thereby reflecting a global commitment to immunization, this increase in financial commitment is insufficient to meet all the needs required to realize the GVAP targets.

In almost every country, some population groups have limited access to vaccines. These groups include people living in poverty, those who live in remote rural locations, segments of the urban poor, and the displaced as well as nomadic people. This problem of limited access to vaccine in some population groups is compounded by data deficiencies at the local and national levels which make even more challenging identifying gaps, factors responsible for the gaps as well as suitable corrective actions. Several countries also report that the financial burden of procuring some vaccines are a barrier to the introduction of these vaccines into their national programs.

Many health facilities still have insufficient resources to engage with communities and provide them with the comprehensive public health services they need. Failure to integrate service delivery mechanisms has decreased the opportunities for health workers to improve immunization coverage and other critical interventions to improve people's health. Conflict and public health emergencies, such as the outbreaks of Ebola virus disease and Zika virus, as well as outbreaks of vaccine-preventable diseases such as measles, meningitis, and cholera have strained an already fragile health systems.

Way Forward….

world immunzation2The Global Vaccine Action Plan (GVAP) is a roadmap to prevent millions of deaths through more equitable access to vaccines. Countries are aiming to achieve vaccination coverage of at least 90% nationally and at least 80% in every district by 2020. While the GVAP should accelerate control of all vaccine-preventable diseases, polio eradication is set as the first milestone. It also aims to spur research and development for the next generation of vaccines.

The Global Vaccine Action Plan (GVAP) recommends three key steps for closing the immunization gap

  • Integrating immunization with other health services, such as postnatal care for mothers and babies;
  • Strengthening health systems so that vaccines continue to be given even in times of crisis; and
  • Ensuring that everyone can access vaccines and afford to pay for them.

Overtime, Excellence and Friends Management Care Centre (EFMC) has carried out research and written articles on the Nigerian immunization system and the reasons for its sub-optimal performance as well as proffered solutions to challenges within the system. EFMC will take further steps and embark on outreaches to Primary Health Care Centres (PHC) within the Federal Capital Territory with the aim of sensitization of health care workers in these PHCs on the importance of immunization. Also, wotldimmmunization3EFMC will continue to educate and enlighten her clients on the importance of immunization as we provide quality health services in our facilities.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

World Health Organization. Immunization Coverage. Available at http://www.who.int/mediacentre/factsheets/fs378/en/ Retrieved on 24th April, 2017.

World Health Organization. (2017). World Immunization Week. Available at http://www.who.int/campaigns/immunization-week/2017/event/en/ Retrieved on 24th April, 2017.

Wikipedia. (2017). World Immunization week. Available at https://en.wikipedia.org/wiki/World_Immunization_Week Retrieved on 24th April, 2017.

World Health Organization. (2017). Reaching everyone, everywhere with life-saving vaccines. Available at http://www.who.int/mediacentre/commentaries/2017/reaching-everyone-vaccines/en/ Retrieved on 24th April, 2017.

World Health Organization. (2017). Infographics: #VaccinesWork. Available at http://www.who.int/campaigns/immunization-week/2017/infographic/en/ Retrieved on 24th April, 2017.s

SPEECH BY HIS EXCELLENCY, THE PRESIDENT OF THE FEDERAL REPUBLIC OF NIGERIA, MUHAMMADU BUHARI GCFR AT THE 2016 WORLD AIDS DAY.

 

PROTOCOLS

 

  1. MuhammaduBuhari

    Today marks yet another World AIDS Day – a day set aside to remember all those who have fallen victim to this global pandemic, all those who have devoted their lives towards the prevention of new infection and the discovery of treatments, as well as to celebrate all our healthcare workers who toiled day and night to make those infected healthy again. 

  1. Today, I celebrate the Nigeria HIV/AIDS community – the healthcare workers, the infected, the affected and our local and international partners in the fight against this disease. Your contributions make all the difference.

  1. Nigeria recorded the very first case of HIV just over 30 years ago. From this single case, we now have more than 3 million people infected by the virus, the second largest number of people with HIV/AIDS in any country worldwide. Today, more people die of HIV infection in Nigeria than in any other country in the world, with about 180,000 deaths every year. We also have the largest number of newly-infected children. Our country contributes 1 in every 3 new HIV infections among children in the world. This is simply unacceptable. HIV and AIDS remain one of the biggest health challenges for our people, and eliminating this disease is a major priority for this government.

  1. Nevertheless, I acknowledge the tremendous progress made in the control and prevention of HIV/AIDS in Nigeria. We have seen a major decline in the number of people acquiring HIV in the last 10 years. The number of clinics providing HIV counseling and testing has also increased by more than 8-fold and universal access to life saving HIV treatment has greatly improved, with over 3000 services delivery points across the nation.

  1. By the end of 2015, we had more than 800,000 people living with HIV and AIDS on antiretroviral treatment. More than 10 million Nigerians today know their HIV status. Nigerians with HIV infection now live longer, can marry and have HIV-free children. But this is not enough. More needs to be done if Nigeria is to achieve the 90-90-90 target of an AIDS-free generation by 2030.

  1. I am aware of the challenges that have arisen in the last few years with regards to the delivery of HIV services in the country. Nigeria continues to miss major targets despite the considerable resources directed by government, local and international partners.  In keeping with our policy of ridding Nigeria of corruption, I hereby re-affirm our commitment of ensuring accountability and transparency in the HIV/AIDS sector. In the face of dwindling financial resources available to government, it is vital that we improve on the efficiency and effectiveness of our programme, plug any wastage that could arise from mismanagement of resources and restore the confidence of our international partners.

  1. To this end, I am directing the new leadership at NACA to work closely with the Federal Ministry of Health and other relevant agencies of government to re-organise NACA with the goal of re-positioning the Agency as the primary coordinating body for all HIV-related activities in the country.

  1. Government acknowledges the important role played by our international partners, including PEPFAR, Global Fund and the World Bank in tackling the HIV epidemic. We expect that the Global Fund and other international donors will continue to work and support NACA in driving and facilitating the delivery of high quality HIV services to our citizens. All HIV activities at the national level should be overseen by NACA for the purpose of prioritising and improving equitable delivery of services, in line with our national goals. This is vital to the long term sustainability of the programme.

  1. Looking forward, we will work towards reducing the cost of delivering HIV care to our citizens through engagement with the pharmaceutical industry to support the local production of antiretroviral medications and test kits. We will encourage the pooling of federal and state funds to finance a common national procurement and logistics system, which will help address problems of stock outs. NACA is mandated to engage the private sector and other relevant health agencies in mobilising resources for the national response with the goal of reducing dependency on international donor funding.

  1.  The government is committed to a paradigm shift in the delivery of HIV services in the country. We will work towards achieving an AIDS-free generation for our citizens. We are committed to ensuring that every Nigerian knows his or her status and is able to access treatment. We will work with our partners towards eliminating mother to child transmission.

  1.  We will support access to HIV treatment and prevention services, protect the vulnerable and tackle discrimination against HIV-infected persons. To this end, NACA, working with the Federal Ministry of Health and relevant partners will lead on the expansion and institutionalisation of HIV services in public and private facilities in the country.

  1.  This government will continue to engage with our donor partners to ensure continuity of care, as more facilities are transferred to the government sector. I am pleased to note that a total of 457 treatment sites formerly supported by the US Government PEPFAR programme in Taraba and Abia States were successfully handed over to the Federal Government, while a number of additional sites are currently being prepared for hand over to State Governments. As we transition to local funding, I am directing NACA to collaborate closely with the Federal Ministry of Health, State governments and other agencies of government to chart a new direction for the delivery of HIV care to our citizens.

  1.  This year’s World AIDS Day is a great opportunity for us, as a nation, to count our blessings and losses, and in so doing, proactively plan to end this epidemic in Nigeria. We must work towards Zero new HIV infections, Zero Discrimination and Zero HIV deaths. We must remove the economic, social and structural barriers that make mother-to-child HIV transmission possible. One HIV infected child is one too many. This is a legacy that we owe our children and future generations.

God bless Nigeria

God bless all People living with HIV and AIDS

God bless our local and international partners

God bless you all