How To Transform Public Health In Nigeria

Over the years, public health in Nigeria has been faced with many challenges; this is a discussion on ways public health in Nigeria can be transformed on the basis of training and retraining of health workers.
#PublicHealth #Health

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The Supreme Court Vacancy After Ruth Bader Ginsburg’s Death: Live Updates – The New York Times

Mr. Trump, who rolled out a new list of possible Supreme Court picks last week before there was a vacancy, seized the political initiative early Saturday, issuing a thinly veiled warning to any Republicans thinking about delaying a vote until after the November election.

The president rejected suggestions that he should wait to let the winner of the Nov. 3 contest fill the vacancy, much as Mr. McConnell insisted four years ago in blocking President Barack Obama from filling an election-year vacancy on the court.

“We won and we have an obligation as the winners to pick who we want,” Mr. Trump said. “That’s not the next president. Hopefully, I’ll be the next president. But we’re here now, right now, we’re here, and we have an obligation to the voters, all of the people, the millions of people who put us here.”

For the Biden team, the death of Justice Ginsburg represents a challenge of a different sort.

As Shane Goldmacher, Katie Glueck and Thomas Kaplan report, Joseph R. Biden Jr. has spent months condemning President Trump as a failed steward of the nation’s well-being, relentlessly framing the 2020 election as a referendum on the president’s handling of the coronavirus pandemic.

Now, confronted with a moment that many believe will upend the 2020 election, the Biden campaign is sticking to what it believes is a winning strategy. Campaign aides said on Saturday they would seek to link the Supreme Court vacancy to the health emergency gripping the country and the future of health care in America.

While confirmation fights have long centered on hot-button cultural divides like guns and especially abortion, the Biden campaign, at least at the start, plans to focus chiefly on protecting the Affordable Care Act and its popular guarantee of coverage for people with pre-existing conditions.

“Americans re-elected our majority in 2016 and expanded it in 2018 because we pledged to work with President Trump and support his agenda, particularly his outstanding appointments to the federal judiciary,” Mr. McConnell said in a statement on Friday night. “Once again, we will keep our promise. President Trump’s nominee will receive a vote on the floor of the United States Senate.”

The more moderate Republican senators are a small group, and it is not clear whether they could control enough votes to block Mr. Trump’s nominee. Republicans have 53 votes in the Senate to the Democrats’ 47, and Vice President Mike Pence is allowed to break any ties.

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Facebook wants to know how it’s shaping the 2020 elections — researchers say it’s looking too late and in the wrong places (FB)

Summary List Placement

Facebook was first warned in late 2015 that Cambridge Analytica was misusing data illicitly harvested from millions of Americans in an attempt to sway the 2016 US elections.

It didn’t pull the plug on the firm’s access to user data until March 2018 after reporting from The Guardian turned the breach into a global scandal.

More than two years later — and barely two months before the deadline for votes to cast their ballots in the 2020 elections — Facebook has decided it wants to know more about how it impacts democracy, announcing last week that it would partner with 17 researchers to study the impact of Facebook and Instagram on voters’ attitudes and actions.

But researchers outside of the project are conflicted. While they praised Facebook for promising to ensure more transparency and independence than it has before, they also questioned why the company waited so long and just how much this study will really bring to light.

“Isn’t this a little bit too late?” Fadi Quran, a campaign director with nonprofit research group Avaaz, told Business Insider.

“Facebook has known now for a long time that there’s election interference, that malicious actors are using the platform to influence voters,” he said. “Why is this only happening now at such a late stage?” 

Facebook said it doesn’t “expect to publish any findings until mid-2021 at the earliest.” The company did not reply to a request for comment on this story.

Since the company is leaving it to the research team to decide which questions to ask and draw their own conclusions — a good thing — we don’t yet know much about what they hope to learn. In its initial announcement, Facebook said it’s curious about: “whether social media makes us more polarized as a society, or if it largely reflects the divisions that already exist; if it helps people to become better informed about politics, or less; or if it affects people’s attitudes towards government and democracy, including whether and how they vote.”

Facebook executives have reportedly known the answer to that first question — that the company’s algorithms do help polarize and radicalize people — and that they knowingly shut down efforts to fix the issue or even research it more.

But even setting that aside, researchers say they’ve already identified some potential shortcomings in the study.

“A lot of the focus of this work is very much about how honest players are using these systems,” Laura Edelson, a researcher who studies political ads and misinformation at New York University, told Business Insider.

“Where I’m concerned is that they’re almost exclusively not looking at the ways that things are going wrong, and that’s where I wish this was going further,” she added.

Quran echoed that assessment, saying: “One big thing that they’re going to miss by not looking more deeply at these malicious actors, and just by the design, is the scale of content that’s been created by these actors and that’s influencing public opinion.”

A long list of research and media reports have documented Facebook’s struggles to effectively keep political misinformation off its platform — let alone misleading health claims, which despite Facebook’s more aggressive approach, still racked up four times as many views as posts from sites pushing accurate information, according to Avaaz. 

But political information is much more nuanced and constantly evolving, and even in what seem to be clear-cut cases, Facebook has, according to reports, at times incorrectly enforced its own policies or bent over backward to avoid possible political backlash.

Quran and Edelson both worried that Facebook’s election study may not capture the full impact of aspects of the platform like its algorithms, billions of fake accounts, or private groups.

“You find what you go and you look for,” Edelson said. “The great problem of elections on Facebook is not how the honest actors are working within the system.”

Quran also said, though it’s too early say this will happen for sure, that because it’s Facebook asking users directly within their apps to join the study, sometimes in exchange for payment, it risks inadvertently screening out people who are distrustful of the company to begin with.

“We’re already seeing posts on different groups that share disinformation telling people: ‘Don’t participate in the study, this is a Facebook conspiracy'” to spy on users or keep Republicans off the platform ahead of the election, he said. “What this could lead to, potentially, is that the people most impacted by disinformation are not even part of the study.”

In a best-case scenario, Edelson said the researchers could learn valuable information about how our existing understanding of elections maps onto the digital world. Quran said the study could even serve as an “information ecosystem impact assessment,” similar to environmental impact studies, that would help Facebook understand how changes it could make might impact the democratic process.

But both were skeptical that Facebook would make major changes based on this study or the 2020 elections more broadly. And Quran warned that, despite Facebook’s efforts to make the study independent, people shouldn’t take the study as definitive or allow it to become a “stamp of approval.”

It took Facebook nearly four years from when it learned about Cambridge Analytica to identify the tens of thousands of apps that were also misusing data. And though it just published the results of its first independent civil rights audit, the company has made few commitments to implement any of the auditors’ recommendations.

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Lockdowns mean millions of women can’t reach birth control – Nehanda Radio

By Carra Anna | AP |

The callers were in tears. One by one, women in homes across rural Zimbabwe had a pleading question: When would family planning services return?

Lockdowns imposed to curb the coronavirus’ spread have put millions of women in Africa, Asia and elsewhere out of reach of birth control and other sexual and reproductive health needs.

Confined to their homes with their husbands and others, they face unwanted pregnancies and little idea of when they can reach the outside world again.

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In these uncertain times, women “have to lock down their uterus,” Abebe Shibru, Zimbabwe country director for Marie Stopes International, told The Associated Press. “But there is no way in a rural area.”

Eighteen countries in Africa have imposed national lockdowns, according to the Africa Centers for Disease Control and Prevention.

All but essential workers or those seeking food or health care must stay home for weeks, maybe longer. Rwanda, the first country in sub-Saharan Africa to impose a lockdown, has extended it for two weeks, a possible sign of things to come.

Even where family planning remains available, providers say many women fear venturing out and being beaten by security forces and accused of defying the new restrictions.

Meanwhile, outreach services, the key to reaching rural women, have largely stopped to avoid drawing crowds and the risk of workers spreading the virus from one community to another.

The International Planned Parenthood Federation, or IPPF, in a new report Thursday says more than one in five member clinics around the world have closed because of the pandemic and related restrictions. More than 5,000 mobile clinics across 64 countries have closed.

Most are in South Asia and Africa, but Latin America and Europe have seen hundreds of closures as well.

From Pakistan to Germany to Colombia, IPPF members say they have scaled down HIV testing and gender-based violence response work and face shortages of contraceptives.

“They have needs that cannot wait,” IPPF director-general Alvaro Bermejo said of women in a statement, pleading for help from national governments to help provide personal protective equipment to allow for intimate care.

For most people, the coronavirus causes mild to moderate symptoms such as fever and cough. But for some, especially older adults and the infirm, it can cause pneumonia and death.

In Europe, 100 non-governmental groups on Wednesday called on governments to ensure reproductive health services during the pandemic, saying many facilities have sharply reduced them or shut down.

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Kano Has Highest Number Of Malnourished Children In Nigeria -WHO

person

The World Health Organisation says Kano state has the highest number of malnourished children in the state.
#Malnourished #WHO #WorldHealthOrganisation
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Suicide remains leading cause of death for those aged 10 to 29 in S’pore

There were a total of 400 reported suicides in Singapore in 2019, up from 397 in 2018, Samaritans of Singapore (SOS) said in a release in Aug. 3, 2020.

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Suicides increased across most age groups

Most age groups registered a slight increase in the number of suicide deaths in 2019.

Deaths as a result of suicide dropped to 8.00 per 100,000 Singapore residents from 8.36 in 2018.

Suicide remains the leading cause of death for youths aged 10 to 29.

Notably, the number of suicide deaths amongst those aged 20 to 29 years remains highest compared to all other age groups.

20 to 29 years old group vulnerable

In 2019, 71 youths aged between 20 and 29 years took their own lives.

Suicide accounts for about one-third of all reported deaths in this age group.

Seeking help

Of those who revealed their age, youths between 20 to 29 years old accounted for approximately 17 per cent of total calls attended to on the 24-hour hotline, and making up for about 37 per cent of Email Befriending clients.

In particular, the number of calls from this age group rose to 4,124, up from 3,396 calls in the previous fiscal year ending March 2019.

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Problems encountered

Through interactions with clients, SOS observed that these individuals often cite issues with romantic relationships, difficulties coping with one’s mental health and struggles managing challenging situations as contributing factors that led to their acute distress.

In a survey recently conducted by SOS to understand the community’s perception towards suicide, one in three in the 20 to 29 age group, responded that they will not consider contacting others for help when they are emotionally overwhelmed.

Stigmatising beliefs around suicide emerged as a common barrier to seeking help for this group.

The fear of embarrassment, being judged, along with the sense of hopelessness that nothing will help, were prominent reasons that surfaced in the survey findings.

A total of 2,497 respondents participated in the survey, of which 580 were aged 20 to 29.

Gasper Tan, Chief Executive of SOS, said: “While the rise in calls is an encouraging sign that youths are recognising the importance of their mental health and need for early intervention, the high number of suicide deaths in this age group is concerning.”

“Much more remains to be done as a community to further understand and address the issues that may prevent our youths from seeking help”.

Highlighting the integral role of advocacy in recent years, he added: “As the lead agency in suicide prevention, SOS will continue to harness these efforts, drawing on the strength, support and network of the community in our programmes and outreach”.

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SOS text-based service introduced

The launch of SOS’ text-based service, SOS Care Text, has been brought forward in recognition of the hesitation of calling the hotline for some individuals in distress or contemplating suicide and their preference for another option through text messaging.

Referring to the increase in the number of calls into the 24-hour Hotline and emails during the Circuit Breaker period, Tan said: “During these trying times, it is crucial that SOS is able to readily provide an alternative form of emotional support while catering to the changing communication preferences of the community.”

Respondents to the SOS survey had also indicated text-based services as the most preferred platform to seek help, reflecting the timely introduction of this offering.

About SOS

Samaritans of Singapore (SOS) is a secular, non-profit suicide prevention centre.

Established 1969, SOS has developed into a professionally run and managed organisation that adopts a holistic approach to suicide-related topics, focusing on prevention, intervention and postvention, an intervention conducted after a suicide for loved ones and friends.

With the mission to be an available lifeline to anyone in crisis, SOS offers emotional support to people in crisis, thinking of suicide, or affected by suicide.

All information shared with SOS is treated as confidential and people can choose to remain anonymous.

Top photo via Unsplash

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Birth rate in PH down by 6 percent in 2018: PSA | ABS-CBN News

MANILA – About 190 babies were born per hour, or approximately 3 babies were born per minute in 2018, a decreased trend in the last 6 years, the Philippine Statistics Authority said.

PSA said there were a total of 1,668,120 live births registered in the country in 2018, or around 4,570 babies born daily. This is equivalent to a crude birth rate of 15.8 or 16 births per thousand of population.

The 2018 data showed a decreasing trend in the last 6 years, from 1,790,367 live births in 2012 to 1,668,120 live births in 2018. This accounts for a 6.8 percent drop in the number of registered live births since 2012.

PSA also showed more males were born than females. Of the total live births in 2018, 870,832 or 52.2 percent were male, while 797,288 or 47.8 percent were female. This resulted to a sex ratio at birth of 109 males per 100 females.

More than half of all live births in 2018 were in Luzon at 58.4 percent, followed by Mindanao at 23 percent and Visayas at 18.5 percent.

Among the regions, the National Capital Region recorded the highest number of birth occurrences at 14.3 percent, followed by Calabarzon at 13.8 percent and Central Luzon at 11.3 percent.

According to PSA, more babies were born outside the usual residence of the mother, which may be due to better health care facilities and services in the receiving region.

In 2018, most of the births occurred in September, with a total of 156,820 births or 9.4 percent of the total. This was followed by October at 9.3 percent, November at 8.9 percent and December at 8.8 percent.

The data also showed the least number of births in 2018 was in February, with only 113,912 births or 6.8 percent of the total live births.

Of the total number of births, 94.3 percent, or 9 out of 10 births, were attended by health professionals, either by a physician, a midwife or a nurse. 

Among all the regions in the Philippines, the Autonomous Region in Muslim Mindanao (ARMM) showed a very low number of medically attended births, with almost half of the births in the region attended by traditional birth attendants, or hilot.

According to PSA, more than half, or 54.3 percent (906,106) of the total live births in 2018 were born out of wedlock. Calabarzon, NCR and Central Luzon recorded the highest number of babies born out of wedlock, while ARMM had the most number of legitimate births.

Majority of the babies were also born to mothers aged 20 to 24, and fathers aged 25 to 29. There were also more babies born to adolescent mothers (aged 19 below) than those sired by adolescent fathers.

The PSA have yet to release the full birth data for 2019, but it has recorded a total of 728,157 births from January to June of last year.

The PSA released the 2018 birth data on its official website on December 27, 2019.

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NCDC Urges More Support From Nigerians For Health Sector Improvement

The Nigeria Centre For Disease Control has called for more support from Nigerians for health sector improvement.

#NCDC #COVID19 #HealthSector

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Watch: Tears As Ondo Commissioner For Health, Wahab Adegbenro, Laid To Rest

Large crowd of sympathizers gathered at Ilara-Mokin to witness burial of Ondo Commissioner for Health, Dr. Wahab Adegbenro.

Dr. Adegbenro died on Thursday at the Federal Medical Centre, Owo at the age of 65.

He was buried according to Islamic injunctions.

Officials who conducted the burial were kitted according to COVID-19 protocols.

Families, friends and sympathizers who wept around the burial site gathered to watch the ceremony.

#covid19 #OndoHealthCommissioner

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