How the Nigerian Senate fights for our health
Those that follow the Nigerian health scene will be aware of The
National Health Bill that has been with the National Assembly for
close to two years.
There are fundamental problems with the organisation of health care
delivery in Nigeria. One of the most important lapses is that the most
critical aspect of health care delivery; primary health care is left
in the arms of the weakest part of governance in Nigeria (the Local
Government). The Minister of Health, Prof. Adenike Grange has argued
severally that for things to move forward we need to address this
legistlative dilemma.
To quote her...
"....the absence of a National Health Act to back up the National
Health Policy has been a fundamental weakness which needed to be
tackled frontally. This weakness means that there is no health
legislation describing the national health system and defining the
roles and responsibilities of the three tiers of government and
other stakeholders in the system. This has led to confusion,
duplication of functions and sometimes lapses in the performance of
essential public health functions"
This Bill has been lying with the National Assembly for 2 years.
Health care workers in Nigeria have been literally begging lawmakers
to pass the bill. The WHO made it top of the agenda in a recent
meeting with Nigerian Health care Professionals. A Nigerian National
Health Conference (NHC2006) begged for our National assembly to pass
the bill.
,
After all the public hearings retreats and discussions...read the
reaction of YOUR SENATE
.
Today Thisday reports...
The move to have a National Health Bill for Nigeria suffered a setback
in the Senate as the consideration of the report was suspended during
plenary session yesterday.
The bill was read the second time and referred back to the Senate
Committee on Health for the final legislative work before the end of
the last senate tenure in June 2007.
To conclude legislative work on the bill yesterday, the Chairman of
the Senate Committee on Health, Senator Iyabo Obasanjo-Bello presented
the report as scheduled for consideration in yesterday's Senate Order
Paper.
But the Senate Leader, Senator Teslim Folarin immediately moved a
motion for the report to be suspended until the senate revisits its
standing rule 111.
The motion was seconded by the Deputy Minority Leader, Senator
Olorunnimbe Mamora, who was a member of the Health Committee that
worked on the bill in the last senate.
The rule states: "The Legislative business of the Senate which remains
undetermined at the close of session or the life of the Senate shall
be resumed and proceeded with in the same manner as if the session or
life of the Senate has not ended."
Not even the argument of Senator Obasanjo-Bello that the nation is
in dire need of a National Health Bill and that so much work has
gone into the bill including public hearings, retreats and
discussions with various stakeholders could make the senate change
its mind yesterday
.She said: "The bill before you today is probably the most important
bill on Health that will be passed by this distinguished Senate and
probably the most important health bill passed by the Senate in our
country's history concerning the health of the people."
"The need for this bill arises because the Constitution is silent on
health. Health is not mentioned on either the exclusive or concurrent
list. The only area related to health mentioned is Drugs and Poison on
the exclusive list." She stated.
"Being healthy is mainly preventive medicine, which is why Primary
Health care is important and should be the focus on our health
delivery system. Solidifying primary Healthcare is the only way to
improve health for most Nigerians.
She went on: "Yet on born Nigerians will benefit from the impact of
this bill. It provides funding for Primary Health Care, regulation for
carrying out human clinical trials, regulation for transplanting,
rights of health care workers and patients, division of health
responsibilities of Federal and State Governments among other
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