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Monitoring: CSO Media Training On Palliative Disbursement organized by Action Against Hunger and CGDP

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Action Against Hunger Logo for monitoring

 

By Abbas Yushau Yusuf

On the 16th of August 2020 representatives of Civil Society Organizations and the Media Converged in Dutse the Capital of Jigawa state and received  a three-day training on Palliative Post Disbursement Monitoring

 

 

Background

Nigeria is now home to the largest number of people living in extreme poverty of any country in the world (over 95 million people). According to World Bank data, the majority of poor households (87%) live in the north of the country.

In addition to monetary poverty, Nigeria also has the second-highest burden of chronic malnutrition (stunting) in the world, with 16.5 million children under five years old being too short for their age and Maternal mortality rates are also three times the national average.

 

In this regard, the CDGP implementing states are among the states that recorded the number of COVID-19 cases during the pandemic.

 

In an attempt to prevent, the spread of the virus the both Federal and State Governments took some measures, which include social restrictions, and enforcement measures.

 

 

This was followed by a total lockdown that resulted in widespread desperation as most people who rely on daily income complained of their inability to feed their families since most people are daily income earners.

Malam Abdurrasheed From Save The Children Taking Research Questionnaire and KoboCollect

Malam Abdurrasheed From Save The Children Taking Research Questionnaire and KoboCollect

While these measures are critical to reducing the epidemiological impacts of the pandemic, they pose a serious threat to the livelihoods and survival of many families.

 

In most instances, the measures have led a total or partial loss of income especially among the poorest and most vulnerable.

In a view to mitigating the livelihood challenges posted by COVID – 19 pandemic, the states introduced palliative support distribution among vulnerable groups.

In view of the above context, the overall purpose of this activity is to ensure transparency and accountability in the palliative distribution in the state since Households already living below the poverty line are the most affected.

 

Also severely affected are the millions of Nigerians who depend on their daily earnings for survival. The CS and Media would like to ensure that the right people are targeted and reached with the distribution.

 

The Rationale for the Training

The following are the rationale for carrying out the activity:

  • To equip the CS and media group knowledge on data collection skills to effectively monitor the distribution of palliatives.
  • To strengthen the capacity of CS and Media on Research design and methodology required for an assessment
  • To strengthen the capacity of CS and media groups in post disbursement tracking and monitoring of palliative.
  • To increase citizenry participation in government interventions.
  • To support the institutional capacity of CS and media to enable them to advocate for the transparency and accountability of government projects.
  • To determine the level of awareness of the population on their right for the government palliatives

 

 

Group 1 sharing Ideas during the CSO Media Training

 

 

Objectives of the Training

The following are the objectives of carrying out post-distribution monitoring:

  • To track and ascertain the receipt of palliative from Federal Government to Jigawa and Kano State Government.
  • To determine what element of the palliative is to be monitored
  • Determine how many LGA benefited from the palliatives and sample needed for monitoring.
  • To have the Idea of CSO and Media, what question does the assessment want to answer?
  • To track and know who the beneficiaries are in the state.
  • To track the utilization of the palliative after distribution to the beneficiaries.

 

Participants

The participants for this activity are CS and Media of Kano States.

20  CSOs  and media representatives

 

 

DAY 1 Moderator: Mrs. Stella, Program Manager AAH Jigawa/Kano and Mall Salisu Chairman KaSSOPP

 

Introduction The training starts with opening prayer by Umar Adamu (SASIF) by 9:21 am, then followed by self-introduction and a set of ground rules. The agenda was presented by Mrs. Stella, Program Manager AAH Jigawa/Kano, which includes: Objectives of the training, overview of the Government palliative, the objective of the palliative monitoring and the role of CSO/Media, quality of Good Interviewer, Ethics principles in research, methodology and sample size determination, research question, formulation, questionnaire design, introduction to Kobo Collect app, questionnaire design using Kobo Collect app, introduction to the survey questionnaire, finalize LGA and Community for the assessment and develop itinerary for the assessment and sensitize participants on social inclusion related social protection.

Group Work

Group Work

Also, the objectives of the training were explained by Mrs. Stella. The objectives of the training are

  • To train CSO/Media on how to track and ascertain the receipt of palliative from the Federal Government to Kano State Government by the populace for accountability purposes and to hold the Government accountable.

 

  • With the CSO and Media to determine what element of the palliative is to be monitored.
  • Determine how many LGA benefited from the palliatives and sample needed for monitoring

 

  • What question the assessment want to answer.
  • Track and know who the beneficiaries are in the state.
  • Track the utilization of the palliative after distribution to the beneficiaries • Timely proactive disclosure of information
  • Comprehensiveness and usability of the information
  • Availability of the beneficiaries targeting
  • Monitored quality and quantity of food items received
  • Available spaces for citizen’s engagement
  • Timeliness of Government responsiveness and Citizen’s satisfaction
  • Sensitize participants on social inclusion related to Social Protection Overview of Government Palliative Nigeria’s Government enacted the COVID-19 Regulation 2020 to curb the spread of Coronavirus in Nigeria.

 

The measures specified include restriction of movement of persons and goods 2 (lockdown), compulsory usage of face masks, hand sanitizers, etc. in the market places, religious houses, schools, private and public offices. The Government also introduces fiscal and economic stimulus (Cash transfer, Distribution of Food, Tax reduction, subsidies, etc) to redress the distress of the vulnerable populace.

 

In compliance with Federal Government directives, State Governments impose varying degrees of measures to curb the spread of coronavirus in their states including Kano and also a main stakeholder in the ‘palliative’ distribution.

 

Mr. Salisu, Chairman KASSOPP, aptly put that unlike the Federal Government approach of preparedness from regulation to restrictions, Kano state Government impose movement restrictions.

 

Palliatives received by inhabitants of Kano were donated by the Government, Corporate Organization, Foundations, Philanthropists, Religious Organization, Traditional/Religious Leaders, and concern individuals.

Generally, the level of the beneficiaries from the distributed palliative is low. Kano State palliative distribution was marred with the following challenges:

  • Very low level of beneficiaries; 4 in every 500 people of each polling unit. • Low quality or damaged goods: There are palliatives received that are not good enough for consumption
  • Issues of transparency and accountability; selection and distribution is difficult to assess
  • Persons with Disability (PwD) were excluded; some were selected and ignored subsequently.
  • Lack of preparedness funds to curb the Pandemic in the state.

 

  • Politicizing the distribution of palliative in some areas. Palliative Monitoring and the Role of CSOs and Media Mr. Abdul Rasheed, M & E Save the Children – Abuja stated that the objectives of the palliative monitoring to include: to develop a tool which aims at the systematic collection, and analysis of information of the program as it progress, to provide the government with valid information, to provide a range of information from the credibility of the beneficiaries targeting vulnerable households, and assess the beneficiaries’ satisfaction.
Groups Exercising during the meeting

Groups Exercising during the meeting

However, the role of CSOs and Media is to promote transparency, and accountability of public funds, gaining public trust, community engagement, and humanitarian aid.

 

He also explained the qualities of a Good Interviewer; an Interviewer should know the survey, training and experience, listening culture, emotional maturity, control of anger and aggression, empathetic attitude, ability to recognize uniqueness, extrovert behavior, physical stamina, and stable personality.

Furthermore, he outlined three ethics principles in research as respect, beneficence, and justice. However, he stressed the importance of informed consent from the interviewee in which Dr. Salisu of BUK suggested the consent of a parent in the case of Children.

Mr. Sagir also raises a 3 issue regarding the culture of the community as an essential; respect to people’s culture is important whilst Mr. Salisu, Chairman KaSSoP, added the importance of appropriate language and expressions in the interview exercise.

 

In another session tagged methodology and sample size determination, Mr. Abdul Rasheed described sample size as the number of participants or observations included in a study.

CITAD Trains 100 Youth on COVID 19 protocols

This can be determined using a mathematical formula or an online sample size calculator (i.e. http://www.raosoft.com/samplesize.html). The usage of the online sample size was projected and tested using the Kano State population as an example.

 

Also, how to distribute the sampled size for selected areas (LGA, Senatorial Constituency, etc.) was calculated mathematically using a simple fraction. Mr. Abdul Rasheed, M & E Save the Children – Abuja, typify the need to add 10% of the sampled size to care for non-respondents during the data collection exercise.

 

For example, if the sample size is 100 then adding 10 (10%) to it will be equal to 110 to be selected for data collection. So, added 10% will help to reach a minimum sampled size or more.

 

Also, where to start a collection of data is best arrived scientifically but in the absence of that spinning, a pencil or pen on the ground will help to choose randomly without bias.

 

He also presented research questions formulations with the six steps involved in the questionnaire design. KaSSoPP was able to adapt a questionnaire to answer research questions formulated by them.

 

What to address is the “Assessment of COVID-19 Palliative Distribution in Kano State” to appraise the COVID-19 palliative distribution exercise in Kano State.

However, the specific objectives as agreed are to:

 

  1. Identify the challenges of palliative distributions in Kano State

 

  1. Evaluate the level of transparency and accountability of COVID-19 palliative distributions exercise in the state
  2. To examine the level of inclusion in the distribution of
  3. To assess the opinion of respondents on a possible way of improvement. Before wrap up of day 1 presentations, the Kobo Collect application was introduced.

Some members have downloaded the application whilst usage is expected on the second day of the training.

We also agree to arrive at the venue by 8:30 to start early on the second day with the closing prayer by Mr. Sufyanu Bichi.

 

DAY 2 Moderator: Mallam Salisu Chairman KaSSoPP The second day starts with opening prayer and a recap of day one by Ibraheem Amosa AHIP Kano around 9:00 am. Mobile Data Collection was described by Mr. Abdur Rasheed, M & E Save the Children – Abuja, as a method of gathering any type of information using a mobile device.

 

He pointed out the fact that using a mobile device to collect data is economical, timely, safer storage and backup, user- 4 friendly, quick access to data. The popular mobile data collection applications include KoBoCollect, ODK, Survey CTO, Google Form, Survey Monkey, etc.

KoBoCollect App is choosing for simplicity and cost-effectiveness. Steps are as follows:

 

  • After installation of KoBoCollect App
  • Open the apps
  • Open general settings
  • Click on a server • Click on URL and enter: https://kc.humanitarianresponse .info/kassopp • Enter username: and password

5 How to use the KoBoCollect App? User is expected to download blank forms from his/her account and start data collection, following these steps:

  1. Confirm internet connection on your device, then
  2. Select Get Blank Form on the home screen menu of KoBoCollect
  3. Click Select All (or select the ones you wish to download), then click Get Selected.

6 How to collect data through filling blank forms? After Blank Form is downloaded, the internet connection is no longer a must. The blank forms and the following submissions will stay on the mobile device until the user connects or regain internet connection and send the data submissions to the server. Steps to collect data through filling blank forms are as follows:

 

  1. Select Fill Blank Form on the home screen
  2. Select the form you wish to fill out and enter data.
  3. Users can go through and start answering all the questions (swiping your finger from right to left).

 

  1. When the user reaches the end of the form, he/she should click on Save Form and Exit with the option of finalized opened; if it is not marked before clicking on Save Form and exit then it can be edited later.

Otherwise, if it is marked as ‘finalized’ before clicking on Save Form and exit then it cannot be edited later).

7 How to upload finalized data to the server? After the User has completed the forms, these steps should be followed to upload the collected data to the KoBoToolbox account and server:

  1. Connect to the internet.
  2. Edit Saved Form if there is one or more pending

 

  1. Click on Send Finalized Form from the home screen,
  2. A list of your most recently collected forms appears.

 

  1. Click Select All (or select just the ones you wish to send), then click Send Selected. How to edit data in KoBoCollect? Once the User has completed filling out forms, it’s possible to edit and make corrections to the submitted data in KoBoCollect before sending them to the server.

 

  1. Select Edit Saved Form on the home screen of KoBoCollect.
  2. Users will see a list of Saved Forms. Choose the one that you wish to make corrections to.
  3. Make changes as needed and then press Save Form and Exit.

 

  1. User can repeat the process if he/she wish to make corrections to multiple Saved Forms. How to delete Blank and Saved Forms in KoBoCollect? Once the user has completed all data collection for a specific project and has submitted all the saved forms to the KoBoToolbox server, it’s recommended to delete the Blank Forms and Saved 8 Forms from KoBoCollect so that enumerators will not get mixed up when collecting data for other projects.

 

To do this, select Delete Saved Form from the home screen. Before the end of day 2 training, participants were asked to enter data into the KoBoCollect app to test what has been learned and to make necessary corrections to the drafted Palliative Distribution Monitoring for Kano State.

 

Little corrections were identified and corrected and participants reaffirm the needs of this training as CSO or Media to monitor Kano State Palliative Distribution.

 

Also, participants showed readiness to make use of what has been learned on Palliative Distribution Monitoring using the KoBoCollect app for KaSSoPP activities and others.

 

Lastly, participants were implored to show more commitment to adaptive fund applications. More individual organizations should try and apply while KaSSoPP as a platform should try and submit on time.

 

 

DAY 3 Moderator: Mallam Salisu Chairman KaSSoPP.

 

Day 3 starts with opening prayer by Dr. Nuradeen, then recap by Ibraheem Amosa AHIP Kano.

 

Session objectives include: to develop a clear understanding of prominent definitions, approaches, concepts, and frameworks for social inclusion; to generate understanding and familiarity with the linkages between social inclusion and social protection; and, to build the capacity of participants to communicate and elaborate why social inclusion is a key component of social protection.

 

Understanding social inclusion from exclusion was presented by Mr. Garba, ACO AAH Kano starting with the question: What is Social Inclusion?

 

Participants described social inclusion in writing as instructed. Then, expatiate exclusion and drivers of exclusion. Drivers of exclusion include vulnerability related to life course cycle, limited human capabilities, legal norms and rights, the ability of public policies, and institutions, success in establishing inclusive rules, procedures, and practices to enable equitable access and utilization of services, good governance, and informal norms and practices.

 

Mrs. Stella, Program Manager AAH Jigawa/Kano also take another session tagged ‘what is social inclusion?’ with group work where participants were grouped four and asked to described social inclusion using a diagram, sketch, or pictures. Each group illustrated social inclusion with diagrams and presented it in styles.

 

Followed by a session on the effects of social exclusion handled by SPIC, AAH Jigawa.

 

This was started by group work. Participants were grouped into two; Group One: Effects of social exclusion Group Two: What can we do to promote social inclusion? She explained that social exclusion causes poverty, productivity, conflict, insecurity and makes it difficult to achieve sustainable development goals. And what can be done to promote inclusion include partnerships to increase accountability and promote the role of law; influencing

9 policymakers; and, taking prejudice and changing behavior. Mrs. Stella joined the session and explained social protection’s contribution to inclusion as a means of addressing most drivers of exclusion and contribute to addressing outcomes of exclusion.

 

We started another session with the following objectives presented by Mr. Umar Ibrahim ACO AAH Jigawa:

 

  • To provide a platform for exchanging experience and practices on mainstreaming disability and other cross-cutting issues in development programming;

 

  • To demonstrate through case studies and other innovative approaches how disability and other crosscutting issues can be mainstreamed into development;

 

  • To advocate for human rights-based approach in addressing both basic and specific needs of persons with disability and other vulnerable groups; and,
  • To raise the visibility of disability and cross-cutting issues in development programming. Followed by the definition and key factors of the person with a disability by Mr. Garba, ACO AAH Kano.

 

 

He said that disability is the disadvantage and exclusion which arise as an outcome of the interactions between people who have impairments and the social and environmental barriers they face due to the failure of society to take account of their rights and needs.

 

 

And described impairment as a physical, intellectual, mental, or sensory characteristic or condition, which places limitations on an individual’s personal or social functioning in comparison with someone who does not have that characteristic or condition.

 

We took another group work (Group 1 & 2) tagged Taking inclusive home using the following questions:

  1. What are the social inclusion programs in Kano state?

 

  1. How inclusive will you rate the programs?
  2. What can be done to enhance inclusion? The two groups meet, answered the questions, and presented it. Here we start mainstreaming disability and barriers as another topic handled by SPIC and ACO AAH Jigawa and to ensure monitoring.

 

Mainstreaming was described as the process of engaging in a structured way with an issue as an organization, at the workplace, program, and policy levels, to address and avoid increasing, the negative effects of that issue.

 

However, in disability, mainstreaming is a method to promote inclusion and to address the barriers that exclude disabled people from full and equal participation in society.

Therefore monitoring is very essential in ensuring transparent disbursement and equity.

Mrs. Stella, Program Manager AAH Jigawa/Kano also stresses how to mainstream disability into the program at different levels; Pre-planning, Planning, implementation, and monitoring.

Mainstreaming in CDGP was not left out, it includes identifying and partner with an organization of persons with a disability, support legislation, policies and programs with a disability, data disaggregation, development of indicators in program plans, training, and referrals, and awareness creation for rights and monitoring

10 Next Step of Action Our next steps of action are:

 

  • Planning meeting for data collection
  • Data collection using KoBoCollect
  • Dissemination of results
  • Stepdown training for member’s organization
  • Continuous sensitization
  • To embark on investigative reportage on palliative distribution The training was wrapped up with thanks from Mrs. Stella, Program Manager AAH Jigawa/Kano. Followed by a vote of thanks on behalf of KaSSoPP by Mall. Salisu, Chairman KaSSoPP, and closing prayer by Mallam Ashiru Shehu Kachako (Zuma)

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Features

Kano Women Battle for Bed Spaces at Major Hospitals, Leaving Many Stranded or Worse – Dead

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Baby Amina is yet to cry over a week after her birth, as no bed available at tertiary health facilities

Aisha Ahmad Ismail

It was a dark day for Malama Khadija, who despite heavy bleeding with no pads on has been on the road for almost 8 hours, seeking help for a baby that has not cried a day after birth even after visiting 9 hospitals in Kano.

The new mother was forced to ride in her husband’s tricycle, ignoring the dripping blood as they went to 9 hospitals, none accepted them for mainly reasons of bed space

Khadija birthed a girl on Monday, when health care workers at asibitin Bela noticed the child did not cry, and later referred them to Hasiya Bayero Pediatric Hospital for better access to professionals.

Here, a security guard asked them to ‘not waste their time’ as they do not care for children who did not cry at birth.

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Other hospitals, the new parents visited Murtala Muhammad specialist where the father said the child was first checked, and her legs pinched with ‘something’.
They were later asked to leave for lack of bed space, and referred to another hospital.

The worried mother held the little girl now named Aminatu as they headed to Muhammad Abdullahi Wase Teaching Hospital. There, the doctors refused to attend to the child because they were on strike.

Malam Bala, the new father and a tricycle rider told this reporter that a police officer threatened to shoot a doctor for delayed attendance to his daughter born with similar condition to his. Doctors asked them to leave.

The brave new parents jostled the new born to another pediatric hospital; Sheikh Khalifa Isyaku Rabiu Pediatrics Hospital along Zoo Road, and their hopes were raised when a doctor started checking on her. A few minutes later, she came up with the same answer as the specialist hospital – no bed space.

Again, they left for Aminu Kano Teaching hospital with the help of a philanthropist they met on their long, hope dashing journey, Hajiya Binta and like before, there was no available bed space.

The parents, exhausted but not giving up on their child, went to a private health facility, where a bed space costs N10,000 per night, something the father said he could not afford if not for the charitable efforts of Hajiya Binta.

With her help, they paid for file N5,000, tests to be run on little Aminatu N6,000, drugs cost N15,000 and an injection N4,000.

He said they were able to spend just one night, as the expenses were much and he had to owe the hospital N21, 000.
Little Aminatu did not cry 7 days after her birth at which was the time of filing this report, and her parents are at home hoping one day, she would cry or stay quiet forever.

Khadija’s case is amongst the many maternal health related complications in the state; in Sept. 2022, a lady, Zainab lost her child and her life at Murtala Muhammad Specialist hospital; in February 2023, a woman now late Hajiya Shema’u Sani Labaran bled to death due to lack of cash at hand for treatments.
In 2024, an investigation by Solace base led to a whole community of women at Mazan Gudu community, Gabasawa LGA who survive pregnancy and childbirth on luck.

These are not isolated cases; but few of the many increasing preventable deaths at childbirth. According to UNICEF in 2018, Nigeria contributes 14% of global maternal deaths. The global body says at least 262, 000 babies die at birth, as the infant mortality rate stands at 69% per 1,000 births.

According to the National Health Care Development Agency 145 women die daily at childbirth in the country, with the highest figures coming from Northern Nigeria.

The staggering figures of maternal mortality and morbidity must have alarmed the Kano state government, leading to finding ways to ease the burden, amongst which is the creation of the Kano State Health Trust Fund created in 2017.
Women Die at Birth Despite Government’s Claimed Enhanced Funding
“I just returned from the burial of a woman who died from childbirth complications, the child is alive and hearty.”

This is the response of the Ja’en ward head, located at Sharada, Gwale LG, Isma’il Sa’ad Usman to the question of maternal mortality and morbidity is his domain.

He said he is not entirely sure why, but despite government’s interventions and NGOs, maternal deaths are not uncommon in many areas in Kano, including his.

Our trip to the primary health care in the area was really short, as health officers were ‘afraid’ of the media.

The Ja'en PHC was bustling with women hoping to get ante-natal care

The Ja’en PHC was bustling with women hoping to get ante-natal care

However, one officer who spoke briefly said women at the local level are wising up to accessing health facilities like theirs, adding that the state has trained officers enabling them to quickly refer to complicated births to higher facilities.
Interviews at some primary health care facilities reveal reduced death rates at the facilities.

A tour of Gwagwarwa primary health care showed women showing up for antenatal as health personnel move around to cater for their needs.

A health personnel at the facility who spoke on anonymously said though there are deaths at childbirth or after due to complications, they mostly occur at secondary and tertiary institutions or at home.

 

Image 3 . Women attending ante natal at Gwagwarwa PHC

Women attending ante natal at Gwagwarwa PHC

The health officer revealed that whenever a complication arises from birth, they are quick to refer to more qualified facilities, but lack of bed spaces of money for basic things make the patients return home, only to later die from preventable health complications.

According to the source, they have heard stories of deaths of either mother and child, or one of the two afterwards.

The village head of Gama, Malam Rabi’u Muhd Isyaku said people are poor, and have resorted to seeking help from Friday mosques or radio stations to treat maternal health problems.

He said there are reports of maternal mortality, but it hardly goes public as they are mostly recorded at home.

“I am always heart broken when I hear a plea for help to cater for a pregnant woman during or after birth,” he added.
Nurse Laments Maternal Mortality; Blames Shortage of Staff .

Nurse Maimuna works at one of the government hospitals in Kano, she said they have recorded deaths at different stages of childbirth.

She said they have recorded deaths due to obstructed labor and prolonged labor that comes late to the hospital.

The nurse added that some women labor (active labor) for 20-30 hours, contrary to the ‘normal’ hours, leading to eventual deaths of both mother and child, or just the child.

Nurse Maimuna lamented how they are overwhelmed with patients that they skip women who are in need in urgent help or C-section.

She has witnessed few women die due to work overload that distracts health personnel at tertiary some institutions.
KHETFUND: Improved Maternal Health Care Promises Fulfilled?

In 2017, the Kano government led by former Governor Abdullahi Umar Ganduje championed the State Trust Fund to help augment the state budget on health, including maternal and newborn health.
Speaking with this reporter, the former state health commissioner, Dr. Aminu Ibrahim Tsanyawa said the law mandates 5% of the fund’s money to the health sector.

He said from the time of Governors Rabi’u Musa Kwankwaso to Malam Ibrahim Shekarau and Abdullahi Ganduje, there has been a free birth and post birth policy which all governments sustained irrespective of political ideologies.

Former health commissioner Kano, Dr. Aminu Ibrahim Tsanyawa

Former health commissioner Kano, Dr. Aminu Ibrahim Tsanyawa

However, there are times when the budget funds are not released on time, or the government is starved of cash, thus the 5% of the fund to ensure the maternal and childbirth ‘always’ gets the necessary attention and funds.
.
Also speaking with this reporter, the director operations, KHETFUND, Dr. Muhamad Lawan Adamu said the 5% for maternal and children is on standing order and has never been delayed, unlike funds meant for hospitals- from primary to tertiary, institutions and others.

According to him, the 5% is handed over to the Kano Hospitals Management Board monthly.

According to another official of KHETFUND, Hamisu Abubakar who is the director admin and services, there has been constant cash flow into the fund from the mandatory 5% monthly IGR and 1% from LGAs allocation since the inception of the current Abba Kabir Yusuf administration, signaling that the fund is not starved of funds.
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KHETFUND Budget Performance
The Kano State Health Care Fund mandates that 50% of the budget be allocated to hospital (Pri, Secondary and Tertiary), 25% to health education institutions 2% to running of the fund, 2% to the vulnerable groups, 5% to maternal health care.

Kano budget performance shows low performance of the KHETFUND; however, this does not affect the 5% maternal health care fund as confirmed by officials of KHETFUND.

The 1st quarter of 2024 budget shows 0% performance of the budget despite the allocation of N800,000,000 to the fund as shown on page 7.

With a budget of N1,200,000,000 in 2023, the fund recorded only 2.1% budget performance, also as seen on page 7 of the document.

With a budget of N1,400,000,000 in 2022, KHETFUND had a 5% budget performance as seen on page 6 of the budget performance document.

YEAR
AMOUNT
PERFORMANCE %

2024
N800m
0%

2023
N1.2bn
2.1%

2022
N1.4bn
5%

Source: Kano budget performance documents

The low performance, according to a KHETFUND official, is not unconnected to the fact that hospitals and institutions do not write to the fund requesting for their needs.

Dr. Muhamad Lawan Adamu, director operations of the fund said they disburse funds only when requested and after due process – with the exception of the maternal health 5% of course.
Despite 5% KHETFUND Maternal Allocation, Why Maternal Health Crisis?
A trip to the Kano Hospital Management Board as directed by the Kano State Health Ministry through the spokesperson, Ibrahim Abdullahi led me to the office of the officer in charge KHETFUND at the board.

He however refused to speak for ‘lack of authorization’ to speak with the media on the issue.

Another trip to the board revealed that the 5% fund from KHETFUND was received regularly. Speaking anonymously, an official said there are many factors for persistent problems with maternal health in Kano.

The first issue the official raised was that the fund was only meant to ‘augment’ needs in the sector, and this will be based on request.

The second problem the official noted was lack of enough doctors/health personnel to man any additional bed or space at the hospitals thus the fund was used to purchase drugs and all other valuables/instruments, including for CS to care for pregnant women and the babies.

NGOs Worry Over Shortage of Bedspaces, underutilization of PHCs
Sanusi Hashim, is the contact person for Society for Child Support and Economic Empowerment, he said they are worried by widely reported maternal deaths despite increased funding and positive government policies.

According to him, many factors are responsible for the trend including
Under utilization of PHCs; According to the officer, they have come to understand that most pregant women would rather go to the ‘bigger’ hospitals that the Primary Health Cares within their locality. Though some PHCs are in terrible conditions, many have been improved to even carry out Cesarean Sections should the need arise. He said these could have eased pressure on the secondary and tertiary health facilities in the state, reduce mortality rate further and provide adequate health care to both mother and child – free of charge.

Lack of bed spaces: Due to the inflow of patients from all 44 LGAs in Kano, Mr. Hashim Sa’id there is congestion and lack of space. He revealed that a tour to one of the tertiary hospitals; Abdullahi Wase Teaching Hospital showed no bed space available to cater for more patients. This he said.

NGO Provides Additional Solutions to Maternal Mortality and Morbidity
Society for Child Support and Economic Empowerment said there is urgent need for government to equip, upgrade and provide adequate personnel at ‘all’ primary health care centers in the state.

The contact person, of the organization, Sanusi Hashim says this will take excellent health care to the doorstep of the masses in all LGA, thus reduce pressure on the secondary and tertiary institutions.

After that, he advocates for intensive campaign on the importance and need for pregnant women to patronize PHCs in their areas.

Sanusi also called on the Kano State Government to increase wards and bed spaces at all health facilities.
On their parts, traditional leaders at Sharada Ja’en and Gwagwarwa seek increased funding and special packages for the poor in the society.

 

 

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Features

How Maryam Abacha Varsity Produced 5 Provosts of Nursing Colleges, 1,000 Lab Scientists, 100 Lawyers, Others in 12 Years

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Twelve years after its establishment, the Maryam Abacha American University of Niger (MAAUN), in Maradi, Niger Republic, has produced five Provosts of Nursing Colleges in Borno, Yobe, and Bauchi States.

Dr. Hadiza Sabo a graduate of Nursing from the University is the current Provost of Shehu Sule College of Nursing and Midwifery, in Damaturu, Yobe state.

Varsity Appoints Gombe Emir As Chancellor

Equally, Dr. Hadiza Yahya is serving as Provost, College of Nursing Sciences in Maiduguri, Borno state, while Dr. Rakiya Saleh is the Provost College of Nursing Sciences in Bauchi, Bauchi state. The trio of Rakiya and the two aforementioned Hadizas all bagged their first and postgraduate degrees from MAAUN.

In addition, Kiloh Nifor who is also the Provost, College of Nursing Sciences in Jalingo, Taraba state, and Dr. Yusuf Bello, the Provost, Kaduna State College of Nursing Sciences, are also alumni of the university.

MAAUN, which was founded in 2013, is owned by Professor Adamu Abubakar Gwarzo, a philanthropist and French Linguistics scholar.

Politics Digest also reports that the Faculty of Law of the premier Ivory Tower, established only in 2015, has produced over 400 law graduates, with more than a hundred of them already called to the Nigerian Bar.

In addition, over 1,000 Medical Laboratory Scientists produced by MAAUN are presently working in Nigeria, while no fewer than 700 of them are practicing abroad.

It would be recalled that the institution was the first to offer a Bachelor of Science degree in Nursing in Niger Republic, where thousands of nursing officers trooped for their university education from different countries.

“The Nursing Degree programme greatly increased the number of nursing graduates in Nigeria. The university started offering Nursing in 2012 and has so far graduated over 2,000 graduates who are rendering their services at different hospitals in Nigeria and abroad,” said the university’s President, Prof. Adamu Abubakar Gwarzo.

Barrister Umar Isa Sulaiman, a law lecturer at MAAUN, while informing Politics Digest that their Faculty commenced academic activities in 2013, said: “Our graduates are working in different government agencies and parastatals. Some are Sharia Court Judges, Magistrates, and some are working in the Supreme Court of Nigeria.

“Also, a high number of our graduates are in private practice. We do meet and appear before different courts. I can categorically tell you that they are doing wonderfully well as advocates.”

Furthermore, the Prof. Adamu Gwarzo-owned university has been positively impacting the lives of several Nigerians.

A MAAUN graduate of Nursing, Hamisu Iliyasu, who hailed from Sokoto State, told this newspaper how his alma mater produced many Directors and Heads of Nursing Colleges in Nigeria.

“You know universities in the North don’t offer Nursing; you either go to the South or you end up retiring at Level 14 as a civil servant. But our prestigious Maryam Abacha American University came to the rescue of so many of us, and we are grateful,” he said.

According to Dr. Kabiru Mahmud, a staff member of the Medical Laboratory Sciences Department of MAAUN, “Our great and pace-setting university has helped increase the number of Medical Laboratory Scientists, not only in Northern Nigeria but in the country at large. We have students from across the country.

“Some came from Lagos, Benin, and Ibadan. I can categorically tell you that Maryam Abacha American University of Niger has the highest number of young Medical Laboratory Scientists in Nigeria.

“Before now, one could hardly find someone with a degree in this field, but only a Diploma. But MAAUN came and provided the opportunity to many undergraduates. Go to Federal Medical Centres across the country, and you will find it difficult counting the number of their staff who are our products.”

Checks by this newspaper further revealed that some MAAUN alumni are presently working at the National Hospital in Abuja and the Mallam Aminu Kano Teaching Hospital, AKTH, in Kano state.

The university according to findings has the highest number of Nurses working in Canada, USA and other foreign countries from West Africa.

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Hotoro Residents Threaten to Vote Out Leaders in 2027 Over Dilapidated Road

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The untarred and dilapidated road

Residents of Hotoro in Kano State are voicing their growing frustration with local and state leaders over the deplorable condition of a key road in their community. In interviews with Nigerian Tracker, the residents expressed deep dissatisfaction and issued a warning that they may withhold their votes in the 2027 elections if their concerns continue to be ignored.

Shehu Usman, a long-time resident of Hotoro, articulated the sentiments of many in the area. “Our area is a vote bank, not just in Nassarawa Local Government but across the whole of Kano State,” Usman said. “Yet, the road is no longer passable in both the rainy and dry seasons, and those we elected—from the Governor to the Chairman and even the legislators—seem not to care about the deplorable state of this road.

The road in question, which remains untarred, stretches from the Ring Road around Nur Petroleum Junction, passes through Hotoro Primary and Secondary Schools, and ends at the Hotoro Police Division. The poor state of the road has been a long-standing issue, but despite repeated complaints, nothing has been done to address it.

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Iliya Musa, another concerned resident, lamented that politicians only seem to care about the community during election season. “During election season, politicians flock to our area, making promises and shaking hands. But once they are in office, they turn a deaf ear to our problems,” Musa said. “This road could easily be constructed, but our leaders have ignored us, and now, it feels like the area is turning into a slum.”

As 2027 approaches, the residents of Hotoro are making it clear that their votes will not be taken for granted. If their elected leaders fail to address the worsening conditions in the community, they may face a harsh electoral backlash from a constituency that has had enough of broken promises.

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