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Federal Teaching Hospital KATSINA At The Verge Of Collapse-Zainab Amiru Sanusi

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By Zainab Amiru Sanusi

The main goal of any Federal Teaching Hospitals in Nigeria is to provide safe, quality, affordable, adequate, equitable, accessible and comprehensive health services to people, as well as contributing to the development of healthcare professionals. But this is not the case at the Federal Teaching Hospital Katsina State.

My experience at the FTH on the 1st of April 2025, brings about many questions on the commitment of this institution in caring for the life it was designed to save.
My son (3 years) was running temperature and could barely walk, but I managed to take him to the Federal Teaching Hospital where we saw a doctor. After the consultation, the doctor asked if I had given him anything prior to which I responded that I had given him anti-malaria drugs and paracetamol, the doctor referred us to the laboratory for further investigations. At the laboratory, my son’s blood sample was taken but that itself was painful to watch as a mother, because they kept missing the vein thereby causing him more pain and discomfort. We were told to return the following day for the results. However, I felt the need to report back to the doctor and ask for advise on what else I could do pending the outcome of the result. The doctor recommended Oral Rehydration Solution (ORS) but I raised my concern that my son had vomited everything he had taken so far, including water. The doctor reluctantly stated that I should just complete that anti-malaria drugs and continue with the ORS even if he throws up. He added that there was nothing else he could do without seeing the results of the Full Blood Count (FBC) from the laboratory.

That was how we returned home feeling disturbed as a mother seeing her son severely sick. My sleep was full of worries and my son kept throwing up the whole night.

The next day, after completing the anti-malaria dose, I returned to FTH and headed straight to the National Health Insurance Scheme(NHIS) laboratory to collect the results of the FBC tests so that we can proceed to see the doctor. To my greatest shock and disappointment, I met a staff who dismissively told me that the result was not out and that I should follow up at the hematology. I sensed something was not right because I had given them enough time to get the results ready.

Notwithstanding, I went straight to the hematology, It was at the hematology that I got the shock of my life, I was told the test was not done! I was dumbfounded, sad and speechless. I asked for an explanation after detailing to the staff that indeed, my son’s blood sample was taken and that I was assured the results would be ready in 24 hours. The only response the staff could provide was “Hajiya bamu da Kayan aiki“ (Hajiya, we are short of working tools.) I could not make sense of what he told me, then I asked again where is the blood sample of my son? He responded by saying that they had not been collecting blood samples because they were not carrying out those investigations and that they probably sent them back! I asked him why would you take blood samples for which you cannot run the test? To this, I was met with a deadpan stare! After some excruciating minutes of waiting for I don’t even know what, I asked him what I should do now.

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He suggested I go outside the hospital and conduct the test if I truly needed it. “Allah ya bama Mara lafiyan lafiya” he concluded.

I left the hematology feeling disappointed and distressed at the hospital of that calibre, that pride itself with knowing exactly how to cater to the needs of its patients was displaying the highest form of incompetence and neglect with no one taking responsibility or showing any form of empathy. In fact, it can be said they are being deceitful, if not, why would samples be taken, knowing surely that the tests would not be done?

I dragged my feet to the NHIS lab to demand for the blood samples of my son and to my greatest shock (yet again), I was told it could not be found. At that instance I could feel the rage building up and I asked how that was possible. Yet again I was met with a deadpan stare!!! The lab attendant finally stated that it wasn’t their fault and that if they had the right working tools, they would have done that. His responses beg the question WHOSE FAULT IS IT??? Why is it that a reputable hospital such as the FTH Katsina doesn’t have the materials to conduct a test like “FBC???”

I reached out to some of the staff of the hospital who offered to speak on condition of anonymity. I was reliably informed that the major reason why I could not get my results was due to the absence of reagents which is the main substance used in conducting tests. They also stated that in cases, where the reagents where available, the management had to sign for them to be released to the laboratory. In a nutshell, the bureaucratic policy of the hospital is what is causing many patients like me and my son not to get the blood samples taken analysed. The patient is either left in the dark or made to seek for other alternatives.

The words of the Chief Medical Director (CMD), on the hospital’s website reads “We equally dedicate our resources to support our healthcare workforce in their daily tasks, helping them reach their fullest potential, thereby developing and maintaining service excellence at the highest level. We believe that, by ensuring better healthcare services for the present and future generations, we contribute to building a brighter world together. We look forward to your continued support and patronage.”

Sadly, my experience and that of many other helpless patients out there, some of who reached out to me with their own experiences is in direct contradiction to his words. There is no sign that the hospital is concerned about the poor state of affairs at its laboratory if not, there is no justification why there would be repeated issue of absence of common reagents to run tests effectively. The bureaucratic process of receiving these items also needs to be looked into if indeed the hospital wants to live up to its potential as the best place to access affordable healthcare in the state. For now though, the state of the laboratory is an accident waiting to happen.!

Therefore, I call on the federal government, the state government, Chairman Nation Health Insurance Scheme Katsina(NHIS) and the appropriate authority of the Federal Teaching Hospital Katsina to pay serious attention and take necessary action to address the present condition of the hospital from collapsing by providing adequate assistance, medical facilities and trained medical personnel in order to minimise the rate of casualty and health complication in the state.

Opinion

WARAKA: The Story of Kano Sexual Assault Referral Centre (SARC)

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A Story by Nurse Ekwem Chinwendu Blessing (BNSC, RPHN, RM, RN)

I was out on my routine duty at Murtala Specialist Hospital for my ambulance service when I decided to take a walk to a centre I had heard about from Sir Muhammad Sunusi Specialist Hospital Accident and Emergency Unit. The centre is called WARAKA–SARC — ‘Waraka’ meaning ‘healing’ in the English language. It is housed in the same building with the Kano State Contributory Healthcare Management Agency (KSCHMA), a beautiful block within Murtala Specialist Hospital. The centre comprises three offices and two toilets. Inside, the offices are adorned with colourful posters of alphabets, numbers, GBV survivors support, pathway for initial care after sexual assaults and domestic animals and pets, creating a quiet and therapeutic atmosphere. The staff are warm and friendly.

The centre was sponsored by non-governmental organisation’s (NGOs) and championed by four ministries in the state: the Ministry of Health, the Ministry of Women Affairs, the Ministry of Justice, and the State Police Force. Unfortunately, the NGOs have since pulled out. WARAKA–SARC attends to cases of sexual assault and gender-based violence for both males and females. I was informed that between 7 and 12 September 2015, training was conducted for doctors, nurses, and counsellors on the management of such cases. Due to the high rate of reported incidents, the NGOs and the four aforementioned ministries pushed for the official opening of the centre.

During my visit, I met several members of staff: a nurse nearing retirement, counsellors, a receptionist, and a volunteer who also serves as the Monitoring and Evaluation Officer. She conducts serological tests such as pregnancy test (serum), HIV, HBsAg, HCV, and VDRL. I had expected to see a doctor trained to assist with forensic examinations, but none was present. I was told that doctors had indeed been trained to provide evidence-based care to clients; however, due to the high demand for medical personnel, they were redeployed to other hospitals and units. Due to that, When a client presents — whether as a case of domestic violence or assault — they are referred to the Gynaecology Emergency Unit, the Gynaecology Ward, the Accident and Emergency Unit, or the Paediatric Unit, depending on the client’s age and the nature of the assault. Following examination, the client returns to WARAKA–SARC for further management, including counselling and serology. On average, the centre sees about fifty clients per week.

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Notwithstanding these challenges, this is the only functioning centre in the state that attends to cases of sexual assault and gender-based violence. I noted that all services rendered to clients are free of charge, and the centre also provides continuous follow-up care.

Based on my observation, WARAKA–SARC is a sensitive and vital centre. I therefore suggest the following measures to improve the care and services provided to clients:

· The deployment of medical personnel — including doctors, nurses, and counselling psychologists — to the centre.

· The four ministries should consistently include the centre in their annual budgets.

· Continuous engagement of staff through training, rural outreach programmes, community sensitisation, and the provision of incentives.

· NGOs should resume and sustain their collaboration with the centre.

· Proper referral pathways for clients to the centre must be established and maintained.

· The Ministry of Justice should make it mandatory for all cases of sexual assault and gender-based violence to pass through WARAKA–SARC before trial. This will enhance the centre’s visibility among individuals and communities.

· Additional centres should be established in strategic local government areas to bring services closer to rural communities far from Kano town, thereby improving access and utilisation.

· Community enlightenment on the importance of the centre and the need to seek help freely when necessary.

· Religious and community leaders should partner with the centre to promote peace and encourage community members to utilise its services.

 

Speak out, get help — end the cycle of violence.

WARAKA SARC: Your path to healing and justice.

Stop GBV. Support survivors. Strengthen justice.

WARAKA SARC: Restoring dignity, rebuilding lives.

Supporting survivors with care, dignity, and compassion.

WARAKA SARC — A Safe Space for Healing.

 

WARAKA–SARC HOTLINES

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SAY NO TO GENDER-BASED VIOLENCE

END VIOLENCE AGAINST CHILDREN

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Opinion

How Kano Digitized Land Turns N50m to N750m Monthly

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– Abba Ka Cika Gwarzo…

By Abba Anwar

Land administration, safety and security of land documents are dancing gorgeously to the gallery, as the administration of His Excellency, Executive Governor of Kano State, Abba Kabir Yusuf digitalized and institutionalized land administration and ownership in the last three years.

Study tour to Kano Geographic Information System (KANGIS), by states like Abia, Kaduna, Jigawa, Adamawa, among others is a clear testimony that Kano is making headway with excellent innovations in land administration and management. Analog to digital development.

Before now, KANGIS was a small unit /department under the state Ministry of Land and Physical Planning. But when Governor Yusuf came on board, the agency turned into full-fledged and autonomous agency with the establishment Law. Normal legislative procedures were followed. And now an independent agency. This makes seamless operations possible. With clear mandate and global taste.

Billions of Naira injected in overhauling and modernizing the agency, were recovered within six months of becoming an autonomous agency. With full Information Communication Technology (ICT) infrastructure which turned the face of the agency via digital and GIS infrastructures, pave the way for that.

Employing GIS enterprise, that is modernizing land administration, beginning from land application to the level of acquiring Certificate of Occupancy (C of O) has now become a seamless operation. Where slow operation fades away.

For Internally Generated Revenue (IGR) the agency was generating a maximum of Fifty Million Naira (N50m) monthly. With the new Law in place and dedicated leadership, from His Excellency down to the Director General of the agency, Dr Dalhatu Aliyu Sani, and dedicated staff, KANGIS can now boost of generating a maximum of up to Seven Hundred and Fifty Million Naira (N750m) monthly.

Racketeering of land documents by touts and weak minded internal elements, has significantly minimized. A system has now been in place for a land applicant to monitor the movement and progress of his or her application from the comfort of one’s room.

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There is an improved manpower, who are always undergoing training and retraining. To cope with the global best practice. With this and the digitalization of the agency, corruption is being reduced to minimal level in the administration and management of land. So also laziness from the part of the staff, unproductive posture, double allocation and insecured process for land ownership are all shelved aside.

Under the wisdom of His Excellency, the Governor, the agency, KANGIS, works hand in hand with the state ministry for land and physical planning. Unlike in some other states, where such agencies wall out ministries of land. Not only maintaining the two institutions, in Kano, both the agency and the ministry work harmoniously in rancour-free atmosphere.

Though land ministry is the mother ministry, but rivalry between them is significantly at the lowest level. It may interest one to know that all payments of the ministry are paid through KANGIS.

The Director General of KANGIS Dr Sani is a renown scholar of geographic information system of global repute, who was invited by Governor Yusuf from far away Turkey, to come and serve his state. Without hesitation, Dr Sani responded positively to His Excellency’s request. Here he is, Dr Sani brought many strategies and innovations to KANGIS. The political will of the Governor helps much in this development. That has eluded the agency since its creation in 2012.

Understanding the genuine political will and commitment of the Governor towards the spirit development of the agency, the good working relationship between all the political appointees and staff of the agency and the mother ministry, is strengthening day in day out. They all understand what team work is to the development of the state.

Ranging from the Commissioner for Land and Physical Planning, Abudujjabar Muhammad Umar, Adviser to the Governor on Land Matters, Hadiza Gadanya, Director General of KANGIS, Dr Dalhatu Aliyu Sani, Senior Special Assistant to the Governor on Land Matters, Alhaji Ahmad down to the Senior Special Reporter Nanu Kankarofi, all believe and understand what team work is and what Governor Yusuf wants in reshaping land administration, control and ownership in the state. Kudos to them all.

Another important picture of Governor’s genuine love for a new Kano is his non-interference in KANGIS’s operations and technical decisions. Being an autonomous with competent hand as the Director General, Governor Yusuf believes he puts a square peg in a square hole. At KANGIS and the mother ministry, modernization with global touch is quite visible. It was this visibility, I guessed, that prompted other states to come to Kano and start shopping for ingenious land administration.

I can still remember vividly clear, when the immediate past Minister for Housing and Urban Development, Ahmad Dangiwa visited KANGIS sometime back, he informed the DG that when he returned back to Abuja, he would inform President Bola Ahmed Tinubu, to kindly urge other states of the federation to come to Kano and visit KANGIS for them to replicate Kano model of land administration. I don’t know if that really happened.

With the full operation and commitment of KANGIS and Land Ministry, Kano Master Plan of over 30 years is now being undusted and ready to be revisited word by word. This is possible as a result of Governor Yusuf’s political will and commitment.

Anwar writes from Kano
Monday, 3rd August, 2026

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Opinion

Borders, Visas and the Beautiful Game: How U.S. Immigration Policies Shaped Global Perceptions During the 2026 FIFA World Cup

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Solomon Emmanuel olamilekan

As the United States welcomed millions of football fans for the 2026 FIFA World Cup, another story unfolded beyond the stadiums. Visa restrictions, border policies, and immigration procedures became central to international discussions, raising questions about whether America’s commitment to security aligned with its image as a nation of openness and inclusivity.

The FIFA World Cup has always represented more than football. Every four years, it brings together people from different cultures, languages, and backgrounds in a celebration of unity through sport. For the United States, co-hosting the 2026 FIFA World Cup alongside Canada and Mexico was an opportunity to reinforce its image as a nation built on diversity, openness, and international cooperation. Yet as millions of supporters prepared to travel, immigration policies and visa restrictions became almost as widely discussed as the matches themselves.

Long before the opening whistle, the global conversation had shifted beyond tactics, team selections, and stadium preparations. Instead, many fans found themselves navigating visa interviews, lengthy processing periods, and uncertainty over whether they would be allowed to enter the United States. The result was a tournament that not only showcased world-class football but also reignited debates about borders, mobility, and the balance between national security and international hospitality.

Beyond the sporting spectacle, the 2026 FIFA World Cup also became a platform for public diplomacy and nation branding. Major sporting events provide host nations with opportunities to communicate their values, strengthen international relationships, and project a positive national image. Consequently, immigration procedures, border experiences, and visa accessibility became part of the broader story through which global audiences evaluated the United States as a host nation.

Visa Policies Put Fans in the Spotlight

According to FIFA, purchasing a World Cup ticket did not automatically grant entry into any of the host countries. The governing body repeatedly advised supporters to apply for visas well in advance, reminding fans that immigration decisions remained the responsibility of each host government. For thousands of supporters from countries requiring U.S. visas, securing a match ticket was only the beginning of the journey.

The Associated Press (AP) reported that, unlike several previous World Cups where host nations introduced simplified entry systems for accredited visitors and supporters, the United States largely maintained its standard immigration procedures. As a result, many fans from Africa, the Middle East, and parts of Asia encountered significant administrative hurdles before they could even think about entering a stadium. The report noted that supporters from countries such as Iraq, Ghana, Haiti, and several African nations faced long visa waiting periods, high refusal rates, and uncertainty despite holding legitimate World Cup tickets.

For African supporters, the challenge was particularly significant. Football occupies a unique place across the continent, where fans are renowned for bringing colour, music, and unmatched enthusiasm to every World Cup. During the tournament preparations, the U.S. government proposed visa bond requirements ranging from $5,000 to $15,000 for certain travellers. The proposal generated widespread concern before eligible FIFA World Cup ticket holders were later exempted. Despite this exemption, visa appointment delays, lengthy processing times, and existing immigration procedures continued to present significant obstacles. Similarly, The Guardian noted that the controversy highlighted broader inequalities in global mobility, with many observers arguing that such restrictions appeared inconsistent with FIFA’s message that football should be accessible to everyone regardless of nationality.

Beyond the Fans: Journalists and Participants Face Challenges

The debate over U.S. immigration policies did not end with football supporters. Journalists, tournament participants, and prominent football personalities also found themselves caught in the complexities of the American immigration system. As a result, discussions about border policies increasingly became part of the World Cup narrative, drawing international attention to how the United States balanced security with its role as host of the world’s biggest sporting event.

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One of the most widely reported incidents involved “Mama Radio,” the celebrated Democratic Republic of Congo superfan known for travelling across the world to support African teams. Reuters reported that she was denied a U.S. visa despite her long history of attending international football tournaments, preventing her from supporting her team at the World Cup. The story attracted global attention because it illustrated how even well-known football ambassadors could struggle to navigate immigration procedures. For many observers, her absence symbolised the barriers faced by ordinary supporters from developing countries.

The Associated Press also reported concerns that lengthy visa processing times could affect accredited journalists travelling from some countries. Although FIFA accreditation grants access to matches and official events, it does not replace national immigration laws. Consequently, journalists were still required to satisfy U.S. visa requirements before entering the country, prompting discussions about equal access to one of the world’s largest sporting events.

FIFA consistently reminded supporters that while it could facilitate information and coordinate with host governments, immigration decisions ultimately remained the responsibility of each sovereign nation. Meanwhile, U.S. officials maintained that the country’s immigration measures were designed to protect national security while ensuring the safe hosting of millions of international visitors. Migration scholars also observed that mega sporting events increasingly expose the tension between border security and global mobility, with visa policies often becoming symbols of a nation’s openness to the world. For many travelling supporters, however, the experience extended beyond football, as months of visa applications, embassy appointments, and travel uncertainty became an integral part of their World Cup journey.

Security or Inclusivity?

As the tournament progressed, international media framed the immigration debate in different ways. BBC Sport highlighted the practical challenges experienced by supporters from countries facing lengthy visa processing times. Reuters focused on personal stories that illustrated the human impact of visa denials, while The Guardian questioned whether restrictive immigration procedures aligned with FIFA’s vision of football as a game that unites the world. Together, these reports shaped global perceptions of the United States, portraying immigration policy as an important part of the World Cup story.

From a strategic communication perspective, immigration procedures became part of America’s international brand narrative, shaping perceptions as much as the tournament itself. Rather than focusing exclusively on football, international media increasingly framed the visitor experience, visa accessibility, and border policies as indicators of America’s openness and inclusivity. This demonstrates how government policies can influence nation branding and public diplomacy, especially during globally televised events that attract billions of viewers.

Supporters of the U.S. government’s approach argued that hosting a global sporting event should not require compromising national security. Every sovereign nation, they maintained, has the responsibility to regulate entry into its territory and protect both citizens and visitors. Others contended that the measures created unnecessary barriers that contrasted with America’s image as a welcoming nation built on immigration and cultural diversity.

More Than a Football Tournament

The immigration debate surrounding the 2026 FIFA World Cup ultimately became a test of America’s global image. While the United States successfully staged one of the biggest sporting events in history, conversations about visas and border access became an enduring part of its legacy.

The tournament demonstrated that global sporting events are judged by more than the quality of football on the pitch. They also influence how host nations are perceived by the international community. Football succeeded in bringing the world together, but immigration policies influenced who could fully participate in that celebration.

From a communication and media studies perspective, the 2026 FIFA World Cup demonstrated that successful event hosting extends beyond logistics and sporting excellence. Public diplomacy is shaped not only by ceremonies and stadiums but also by the experiences visitors have before they arrive. Every visa approval, border interaction, and media report contributes to the construction of a nation’s international reputation. In this sense, immigration policy became a communication tool that influenced how the United States was perceived throughout the tournament.

As future nations prepare to host international sporting events, the lesson is clear: hospitality extends beyond world-class stadiums and efficient organisation. It is also reflected in how accessible a country is to the people who wish to experience its culture, support their teams, and celebrate the universal language of football. In the end, the 2026 FIFA World Cup reminded the world that while football has the power to unite nations, border policies can shape who gets to be part of that shared experience.

 

Solomon Emmanuel olamilekan
Department of development and Strategic communication
University of Abuja

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