FIGURE- QUOTE

. Physical or sexual violence is a public health problem that affects more than one third of all women globally. Women who experience physical and/or sexual partner violence are 1.5 times more likely to acquire syphilis infection, Chlamydia, or gonorrhoea. In some regions (including sub-Saharan Africa), they are 1.5 times more likely to acquire HIV-WHO

Because you need to know 

Dr. Biodun Ogungbo

MBBS, FRCS, FRCSEd, MSc

It is important for doctors and other professionals to have a directory of specialists they can call for help. You need the numbers and contact detail of some people on speed dial. Just in case.

Some of my patients had been to several hospitals before finding their way to me. Some have been to as many as five different hospitals looking for an orthopaedic surgeon, brain surgeon or urologist or any number of specialists. Meantime, many have become permanently injured or died as a result of this merry-go-round. Do you need examples?

Take my own personal example. My mother died several years ago. Shortly before she died, we realised she needed kidney dialysis. So we stated asking around. And driving from one hospital to another for information on where dialysis and a specialist could be found. Alas, by the time we eventually discovered a place somewhere in Ikeja, Lagos, she had given up the ghost. Now, that was over 15 years ago, sadly, not much has changed in the last 15years, except if you view the deterioration as a change.

A doctor died recently and he might have been helped if the right person and the equipment were at hand to save him. Apparently, he had been coughing up blood. He needed a specialist to look down his lungs to see what was bleeding and perhaps sort it out. Sadly, since help was not forthcoming, he died, drowning in his own blood. Other doctors have died in similar circumstances simply because they and their colleagues have no clue as to where help can be found. Even within their hospitals!

Many doctors and health care practitioners remain so myopic that they see no further than their flat noses. Some do not know about the services and specialists around them who may be able to get them out of a jam. Few doctors can list the names and telephone numbers of 10 specialists in 10 different fields. The implication is obvious. If the people, who are supposed to know, do not know, how will the poor patient and their relatives fare? Yet, the problems we face are sometimes to close and personal. The recent deaths should emphasise that we are mortal and destined to suffer the same as the patients we treat and oh, so mistreat. It could be you and may not be able to get a visa to Sokoto’ in able to get time it takes to die. 

We need to know

I attended a meeting of radiologists not long ago. They were giving lectures on breast cancer and uterine fibroids. Unfortunately, the lecturers, seasoned radiologists, were poor in the content of their delivery. They were busy quoting the literature and old textbooks that the audience could be forgiven for thinking they were back in university. What we needed was: what is the condition how is it managed, can you manage it, where are you based and how many you have you treated? Following that, what are your and outcomes so that we can send patients to you? We need to promote what can be done and what is being done and in Nigeria so patients know where to go for succor. Too many people are by charlatans for us not to care.

Be selfish

Being informed and knowing what is available locally is vital. We have to become obsessive and completely selfish in our approach to gaining information and knowledge. Information and knowledge. Information and is power and critical health information can save lives and money. Know what is happening around you, who new in town and skills they possess. Also, what new services are now available in your local area? Try and see further than your nose: just in case.

Health care directory

Nigeria need information to help reduce the carnage in the health industry. What is required is a health care directory with information as to who and what is where. Who are the doctors, nurses, specialists specialist hospitals and specialist equipment and services in each local area? You need to know who is available and achievable in Nigeria.

The ministry of health initiative

The MOH initiated the process of collecting information about skills and services in Nigerian hospitals recently. This long-term project, hopefully, will bear fruit in promoting and educating Nigeria. The beauty of initiative, however, lies in the number of deaths and disability it will potentially prevent. It will potentially prevent. It should be actively supported by all hospitals.

The Abuja health care directory

The Abuja Healthcare Directory was created in 2011 and is updated yearly. It contains the names of many of the hospitals in Abuja. It also contains the names and telephone numbers of a few specialists a specialist services in the FCT. The directory is a small contribution. It  proving access to specialist services and hospital. 

Patients and their relatives can now go directly to the hospital where the needed services can be provided without having to waste time going around in a circle. The Nigerian Healthcare Journal is an online portal that carries the directory and so information can be accessed via laptops, mobile phones and the likes. It is also available in hard copies.

Other websites exist and more local directories need to be developed. It is collective responsibility as doctors and health care practitioners to participate actively in these endeavours of both the government and private parties.

The Nigeria Medical Association, Guild of Medical Directors and the Association of General Private Medical practitioners of Nigeria must all take a lead in supporting and promoting these ideas. 

 Because we simply need to know!