Category: Health

  • Health Ministry In Focus: Marking 2016 World Hepatitis Day In Cross River

    Cross River Ministry of Health under the leadership of Dr (Mrs) Inyang Asibong, Commissioner for Health in partnership with Medical Women Association Of Nigeria (MWAN)(CRS) chapter led by Dr (Mrs) Ani Nchiewe and other voluntary organisations join World Health Organization (WHO) member states to adopt the first ever Elimination strategy for viral hepatitis on World Hepatitis Day, 2016.

    Every Activity that addresses viral hepatitis is a step toward Elimination through Greater Awareness, increased diagnosis, Universal Vaccination, blood and injection safety, harm reduction and treatment. It is estimated that 60% to 90% of viral hepatitis cases go unreported. The occurrence of subclinical cases, failure to recognize mild cases and misdiagnosis are thought to contribute to the underreporting.

    Hepatitis is a fairly common disease that mainly affects the liver. Viral hepatitis is a systemic, viral infection in which necrosis and inflammation of liver cells produce a characteristic cluster of clinical, biochemical and cellular changes.

    There are five strains of viruses that causes hepatitis – Hepatitis A Virus (HAV), Hepatitis B virus (HBV), Hepatitis C Virus (HCV) Hepatitis D Virus (HDV) and Hepatitis E virus (HEV). Hepatitis A and E are similar in mode of transmission (fecal – oral) whereas, B, C and D share many other characteristics (blood borne transmission).

    MODE OF TRANSMISSION OF HEPATITIS A AND E. 

    • Poor sanitation, person to person contact, water borne, food borne. 
    • Incubation (days) immunity is 15-50 days. Average 30 homologous. 
    • It is usually mild with recovery. No carrier state or risk of chronic hepatitis, cirrhosis or hepatic cancer. 

    MODE OF TRANSMISSION OF HEPATITIS B, C AND D. 

    • Parenterally, by intimate contact with carriers or those with acute disease, sexual and oral – oral contact. 
    • Perinatal transmission from mothers to infants. 
    • An important Occupational hazard for Health care personnel. 
    • Exposure to contaminated blood through equipment or drug paraphernalia. 
    • Incubation (days) immunity – Average of 70 – 80 days homologous. 
    • May be severe. Fatality rate:1-10%. Carrier state possible. Increased risk of chronic hepatitis, cirrhosis and hepatic cancer. 

    There is an approve combined hepatitis A and B vaccine for vaccination. Vaccination consists of three doses.

  • Polio Eradication, Victory For Nigerian Children – CRS Health Commissioner

    Cross River Health Commissioner, Dr (Mrs) Inyang Asibong has expressed happiness that the state and Nigeria has not recorded any new case of polio virus in the past two years, as this is victory for our children in Cross River and Nigeria as the whole. The Commissioner made this known yesterday during a meeting  in her office with  a team from National Emergency Operation Centre, Abuja  and the representatives from World Health Organization  who are to Assess status of Documentation for polio free certification.

    Dr Asibong assured that “Cross River will continue to make remarkable progress by strengthening immunization and surveillance activities to detect reintroduction or re-emergence of the virus. The State Government  continued domestic funding, the concerted efforts by all individuals, mostly, the donors and development partners has made the interruption of wild polio virus transmission impossible in the country. With the state polio eradication task force and the establishment of Primary health care Agency by His Excellency, Governor Benedict Ayade,  our vigilance and efforts will continue to keep Cross River and Nigeria polio free”.

    The State Coordinator, World Health Organization, Dr Tom Igbu expresses great excitement of Nigeria’s remarkable progress on polio eradication, as this is achievement in global health. He assured that, WHO will ensure polio does not return to the state and the country.

    Earlier in the meeting, Mrs Faith Ereye, head of the team, National Emergency Operation Centre Abuja applauded the state government and the state Health team for successfully stopping polio in the state in the last two years. Mrs Ereye pledged the dedication and commitment of its members in their assignment to assess status of Documentation for polio free certification.

    Those in the team are representatives from world Health Organization, Ministry of Health, members of National Emergency Operation Centre, Epidemiology Department and relevant partners. Four Local Government Area comprises of Calabar South, Obanliku, Odukpani and Yakurr were chosen for the exercise based on history of polio virus and accessibility.

  • CRSPHCDA In Collaboration With Pathfinders Int’l Begins Installation Of Solar Suitcase In PHC’s IN CRS

    CROSS RIVER STATE PRIMARY HEALTH CARE DEVELOPMENT AGENCY (CRSPHCDA) IN COLLABORATION WITH PATHFINDERS IN’T BEGINS INSTALLATION OF SOLAR SUIT CASE IN SOME SELECTED PHC’s IN THE STATE.

    Cross River State Primary Health Care Development Agency in collaboration with Pathfinders International and  “WE CARE SOLAR” a United State Based Non-Profit organization have concluded training and began installation of portable cost effective solar suit case that will power maternity ward in the Primary health care centers under the  Saving Mother Giving Life (SMGL) program in the state. The training on the installation, use and maintenance of the WE CARE SOLAR SUIT CASE was conducted on the 25-29th July, 2016 at Dannic Hotels. Ekorinim, Calabar.

    Major participants were electricians drawn from Northern, Central and Southern Senatorial district working with the Agency.

    According to the facilitators, Pathfinders International who spoke through their SMGL desk officer, Dr Olabode Oyekoya said the essence of the training is to equip program officers, electricians and SMGL state desk officers with  knowledge on the solar energy system and how it can be maintained.

    Speaking on behalf of the DG CRSPHCDA, Dr Betta Edu, the Desk Officer SMGL in the Agency, Mrs Sally Enyim said the state is very grateful to Pathfinders for successfully implementing the project while assuring them that the State Governor, Senator (Prof) Ben Ayade will continue supporting the organization to actualize their goal in the state by providing enabling environment, security and other logistics dimmed necessary by the partner.

    She assured the partners of sustainable and effective use of the machinery in ensuring maternal mortality is reduce in CRS by 2020. While calling on them to increase the number of solar to reach other PHC in the state. Especially the one PHC per ward.

    The first two days of the training was focused on theoritical work  while practicals was carried out at Pathfinders SMGL supported PHC’s in Ikot Offiong Ambai, PHC Idundu Akpabuyo LGA and PHC Odukpani LGA and PHC Akani Esuk.

    It was also gathered that training methodologies used included Video demonstration, Illustrative lectures, power point and Skilled demonstration using models.

    See more photos below….

  • Primary Healthcare Development Agency Key To Achievement Of Health Insurance In CRS

    HEALTH FINANCE AND GOVERNANCE VISIT DG CRSPHCDA, INDICATE INTEREST TO PARTNER WITH THE STATE TO REVITALIZE PRIMARY HEALTHCARE.

    Chief of Party Health Finance and Governance,(HFG) Dr Gafar Alawode and his team earlier today visited the director General of Cross River Primary Healthcare Development Agency, Dr Betta Edu in her office.

    Speaking, Dr Gafar Alawode thanked the DG for granting them audience, pledging to work with Cross River State to revitalize Primary Healthcare. According to him,  HGF is here to provide a sustainable smart platform for health care financing in the state through, health care diagnosis, governance, fiscal space analysis, resource mobilisation and tracking policy direction for SHIS amongs others

    ” Our aim is to domesticate health finance in CRS through reforms. We are willing to partner with you on the State Health Insurance Scheme which translates to Community Based Health Insurance Scheme for the primary healthcare level. We are more concern on the infrastructure functionaliity  and development in the PHC system of the state as this will be places where majority of persons will access services. The people should be able to feel the impact of their money through quality accessible healthcare said the Chief of Party.

    Responding, Dr Betta Edu,  thanked HFG for coming, informing them on the steps taken so far by the present administration to revamp primary health in the state. On resumption of office, His Excellency, Sen. Prof. Ben Ayade approved for thorough Need Assessment tour of healthcare facilities across the 18 LGA’s with town hall meeting to hear directly from the people their challenges in accessing primary health facilities. Part of the policy to revamp the sector was the introduction of State Health Insurance Scheme which the people will pay little money into a central purse so the can access treatment at Health facilities provided they have enroll in the scheme. She has been to most communities explaining the benfit of risk sharing and protection from catastrophic health expenditure that can impoverish. According to her the people are willing and ready to support the scheme which envisage the calling of healthcare financing by the people.

    Dr Edu went further to intimate the organization that the Agency was fully establish by the law to enhance smooth running of PHC under the one roof policy. She said the State Governor, Prof Ben Ayade and Wife Dr. LINDA AYADE are open to initiatives that will drive primary healthcare in the state forward.  She assured them of the state readiness to partner with them for the health interest of the people.

    Finally Dr Garfar, COP commended the DG, D Betta Edu, the State Governor, His Excellency Prof Ben Ayade ey
    sensitizing and engaging communities on the process of revitalizing primary healthcare in the state.

    “I’m impress with what I saw in the state, the policies, engagement with the people, refurbishment of some health centers and the proposed state health insurance scheme. I give pass mark to the Governor as I hope to work with the health team for the betterment of the people via good health access and financing. Dr Garfar concluded.

  • Salt Production In Okpoma (CRS) Autonomous Community By Egbara Emmanuel

    Traditional methods of salt production have continued in Okpoma, Yala for about 400 years. The lake that supplies the brine was discovered almost immediately after the area now known as Okpoma was inhabited. Two hunters (Odey and Ogar) discovered the lake and made their finding public when they discovered they could not quench their thirst with what they thought was ordinary water.

    No matter how crude the method, salt preparation is not a craft but a scientific process. No wonder the ingenuity of the women who process the salt is attributed to the mythical instruction of a god “Oma.” The name equally refers to the lake itself. This belief is heightened by the fact that right from the inception of this local industry, the salt producers have been making use of solar energy in an intuitive manner.

    The industrial hut is known as “WOLE” and is individually owned. Once a young woman has completed her honeymoon, she is initiated into salt making practices by her fellow women.


    Her more elderly friends and relations decide on a day when they would fetch as many pots of the brine as they consider necessary for her. On the appointed day, the brine would be used in making puddle with which the mud part would be built. Also executed on the same day is heaping of the same puddle to form a huge mound called “Okperede is an Igbo language” at the front of the hut. This hillock, when dry, serves as a preservative bank for salt crystals.

    On her first outing, the initiate is free to fetch brine directly from “Well” the main salt lake or from “drum,” the supporting pond. Her journey would, however, terminate at a point called Olacho (several metres from the lake) if her first outing coincides with her menstrual period.

    Here, she would stop and beckon to other women who willingly supply her with as many pots of the brine as she requires. This is one of the many rules in and around the lake.

    When she gets home, the young woman tills part of the mound that was built for her and pours more brine on it. The new puddle is allowed to dry under the sun for several hours so that evaporation of water content takes place. The hardened puddle, now rich in salt crystals, is further broken into smaller pieces and poured into “yehi” (a pot perforated at the base). This pot is built into the side of the Ewe and has a fiber plug for the hole at the base. Above this hole is placed a circular piece of shard. When filled with the salty earth, the setup stimulates a simple sand filter.

    At this stage, fresh brine is poured into the pot and a number of hours is allowed for the salt crystals in the earth to dissolve. Usually in the evenings, the fiber plug is removed externally. Immediately after removal, a smaller pot (ite eja) is put under the fixed pot for the purpose of overturning the shard at the base of the bigger pot so as to prevent sand from entering the filtrate. Further precaution is taken by pouring back into the filtering pot the initial drops of the percolation. The result is that the saturated filtrate “Ochichi” is not only sparkling, but yields enough pure salt crystals.

    Boiling of brine to extract salt poses a big problem as Okpoma is not a wooded area. In fact, even grass served as fuel in the past. Other combustible materials were sourced from surrounding villages and beyond. Many years ago, a particular type of pot “yehi” was used as an evaporation crucible. Later, this gave way to kerosene tins; but now, it is enamel basin that is in vogue.

    Before the advent of packaging, baking of salt was the only option for the marketing of the product. As in the case of boiling, earthen wares were used for this purpose, but now metal bowls dominate because they are more durable and more convenient.

    The baked cones enable salt traders the opportunity of travelling far and wide to places where the commodity is in great demand.

    The economic importance of the Okpoma salt industry might be underestimated by outsiders, but the indigenes know that it ranks first among what made Okpoma famous in the pre- colonial era. Once a highly valued merchandise, the salt attracted dealers from all parts of former Eastern and some parts of Northern Nigeria to one of the most famous markets at the time, Ida. When the market lost its pride of place to the Uburu Slave Market, Okpoma salt still formed the bulk of the supply in that market since Uburu salt production is seasonal owing to floods.

    It would be recalled that Okpoma supplied the entire Eastern Nigeria with salt during the Biafran/Nigerian Civil War. Biafran scientists, after a series of tests, declared the brine from Okpoma Salt Lakes as having the highest salinity among all lakes in Eastern Nigeria.

    The Cross River state government should wake up and build industry close to the lake and taught the local women new production techniques, including the use of “alum” to effect sedimentation of dirt before decantation and ultimate filtration. The now dilapidated salt wells still stands as a monument of the glory.


    One wonders why, nearly 40 years after the civil war in Nigeria and after their creation of Yala local council, the rehabilitation of Okpoma salt industry has not been undertaken by the state or federal governments. The fact that Okpoma is strategically located and the salt lake is only ten metres from Federal Road, Okpoma presents, in my opinion, a compelling investment opportunity for entrepreneurs.

    Incidentally, Cross river State is known by the moniker “The people paradise.” There is no wisdom in allowing the country to continue depending on imported salt when what gives Cross River State the name “the people paradise” abounds.

  • Cross River General Hospital Now Pays N10,000 To Every Woman That Gives Birth In The Hospital

    As part of the vision to influence pregnant women and mothers on the benefits of giving birth in hospitals, Cross River State Commissioner for Health, Dr. Inyang Asibong has made it clear that every woman that delivers (gives birth) in the General Hospital(s) across the State will be paid ten thousand naira (N10,000) after her discharged.

    Calabar Reporters confirmed this new development when a patient who decided to give us her name as Mrs. B (not her real name) on Tuesday the 2nd of August, 2016 told our Correspondents how a card was given to her in the hospital during her discharge and then followed by an SMS with directions on how to cash the money at First Bank Nigeria, Mayne Avenue Branch, Calabar.

    Confirming the report, Mrs. B said she cashed out the money on Wednesday 3rd August at Mayne Avenue with ease. She said, “I didn’t know about all this, but am really impress and I thank Dr. Asibong as she’s they to me and other women when in the delivery ward at the General Hospital, Calabar. I really appreciate and I urge other women going to prayer houses to deliver at the end at which many die, to embrace hospitals, especially General Hospital which is the safest place to give birth”.

    Meanwhile, Dr. Asibong had before now told Calabar Reporters in an interview that the maternal mortality rate in Nigeria is about 576, the previous one being 545. She said, “You can see that there is an increase from 545 to 576 per 100,000 life birth which is really abysmal.

    “We are trying to bring it down to a one (1) digit figure since 576 is still a three (3) digit. Many countries are having 1-digit, talking about 9 per 100,000 and we are having this whole number. It therefore means that out of every 100,000 mothers that gives birth, 576 of them dies. This is quite a huge number”. She added.

    With this new development on trying to let people know the safety of giving birth in hospitals, the N10,000 is another means to support mothers as at the end will reduce maternal mortality rate across the state.

  • US based organisation to partner CRSG on the promotion of bio-fortified foods

    An organisation based in the United States (US) known as Harvest Plus international through her Ambassador and Nollywood Veteran Actor, Segun  Arinze told the Cross River State Commissioner, Dr. Inyang Asibong that they will partner the state’s health ministry to hold the 2016 annual nutrition food fair in Calabar.

    A United States based organization is set to partner the Cross River State government on the promotion of bio-fortified foods says its ambassador and Nollywood veteran actor, Segun Arinze.

    According Segun Arinze, aka Black Arrow, the visit is as a bid to seek partnership for the hosting of the event which will promote bio-fortified foods, Arinze said that, “harvest plus international has decided to hold the 2016 annual nutrition food fair in Calabar. We are using film, music and comedy to pass our message on bio-fortified foods.

    “We will partner with the ministry of agriculture and the creative industry for the hosting”.

    Acocrding to CrossRiverWatch, the event is scheduled for November 1 – 4, 2016, which will see the likes of Aki (Chinedu Ikedieze), Pawpaw (Osita Iheme) and other guest artists to grace the event with foodstuff fortified with zinc such as banana, plantain and maize to be showcased.

    Asibong who lauded the organization for its initiative, describing it as apt, noted that, “We have been charged by the governor to go beyond our offices to sort for partners to drive our programs.

    “I must sincerely laud your organization’s decision for choosing Calabar for this year hosting, the importance of nutrition cannot be over emphasized, we are glad you have come” she said.

  • Bekwarra Sets A Zero Target Of Maternal & Underfive Mortality By 2018

    BEKWARRA SETS A TARGET OF ZERO MATERNAL MORTALITY & ZERO UNDERFIVE MORTALITY BY 2018 AS FIRST EVER TOWN HALL MEETING ON HEALTH HOLDS!

    The Director General of CRSPHCDA, Dr Betta Edu visited Bekwarra Local Government Area as part of the effort by the Governor, Sen (Prof) Ben Ayade to revitalize primary healthcare under the one roof policy in the state. The meeting also gave opportunity for the people to engage the government over new policies on health.

    Speaking, the DG said health is a very important factor of human life and that is why the state Governor, His Excellency, Sen (Prof) Ben Ayade has found it necessary to keep to his electoral promises of providing quality healthcare to Bekwarra people.

    According to her, His Excellency, Prof Ben Ayade and his wife in partnership with Cross River State Primary Healthcare Development Agency is bringing quality health care services to the door step of the people via Mobile primary Health services while Her Excellency, Dr Linda Ayade is introducing mobile diagnostic clinic and will be attached with mobile healthcare program were people incapacitated in the rural areas can be reached. She also inform them of the plan of the state government to introduce State Health Insurance Scheme which in the PHC level is the Community Health Insurance Scheme. She stated that with the scheme everyone irrespective of their pocket will have access to quality healthcare services through a little contribution into one central purse. Lastly she said they have been a policy the state government in collaboration with the FG have began implementation  in the state which is to establish one functional primary health center in every political ward. This according to her will reduce the traffic at teaching and General hospitals across the state.

    Dr Edu submitted that the Governor has recently appointed 18 medical doctors to man the PHC’s in each LGA’s as part of the effort to increase manpower while assuring them of other gaps to be closed by the government.

    Also speaking, the chairman of Bekwarra LGC who was represented by Hon. Paul Omang, Leader of the Legislature noted that its a very great move by the state to reposition primary healthcare in the local government which according to him was almost crashing due to several hindrances like inadequate manpower, water supply and electricity. He firmly believed that the assessment of facilities and town hall meeting will enable Government take the right actions while also calling for the people to give support to the digital governor, Prof Ben Ayade who he noted as the father of Modern primary  healthcare in CRS.

    Hon (Chief) Anthony Imogbo JP. former Vice Chairman of Bekwarra 1999-2003 advise the state government to increase the funding of PHC’s and improve facilities in health centers while also applauding the ultimate steps taken by the governor to employ medical doctors in PHC’s . He stated that the health insurance scheme is good for the state but express the fear of the past were such scheme will be diverted to personal gains. He said his people will always support the Governor while thanking the DG for the visit.

    The town hall meeting was attended by religious leaders, opinion leaders, traditional leaders, youths and women leaders. Hon Mattias Obogo represented the Paramount Ruler, Mrs Owan Diana A. Information officer of the council represented HOLGA. The team led by the energetic DG later proceeded to assess some health centers in Abouchiche and Adinga Ward.

  • Milk from Cockroaches is four times the equivalent of Cow’s milk – Pharmacists

    This could be funny, but significant if the research proves truly valuable. A report from CNN recently advices people to reason to eat cockroaches for protein, reasons being that they contain milk which gives protein that is equivalent to that of cow’s milk.

    Now in China, people rear cockroaches where they call themselves, roach farmers.

    But, would you even dare to touch a cockroach? Many people especially the ladies fears cockroaches even to a gun and now the world of science and health is telling us to eat them

    Chinese pharmacists, through CNN, has reported that cockroaches have about four times the equivalent of cow’s milk. They said, the milk from cockroaches is also important for growth and development.

    The question is, would you eat cockroaches from today?

  • CRS Target Zero Mother To Child Transmission (MTCT) Of HIV & AIDS In 2020 AS 5 Days Training Of Health Workers End

    CROSS RIVER STATE TARGET ZERO MOTHER TO CHILD TRANSMISSION (MTCT)  OF HIV & AIDS IN 2020 AS 5 DAYS PMTCT TRAINING OF STATE AND PHC HEALTH WORKERS ENDS:

    Three years developmental plan for Elimination of Mother to Child Transmission of HIV & AIDS training of State Health workers, LGA PHC Coordinators, M&E health officers ended on Friday 29th July, 2016 at Mary Ekpiken Hall, Channel View Hotels, Calabar.

    According to one of the facilitating agency, United Nation Population Fund ( UNFPA) spokesperson, Keneth Ehouzou said eliminating mother to child transmission of HIV and AIDS (EMTCT) remain an important public health problem of great significance in sub Saharan Africa, including Nigeria which Cross River State is inclusive. He said Cross River and Kaduna have been chosen by UNAIDS as a focus area for the project.

    “We are supporting CRS to develop a plan to reduce MTCT of HIV & AIDS. The plan will be streamlined with the strategic health development plan of Ministry of Health and State Primary Healthcare Agency multi-year operational plan for 3 years said Ehouzou.

    Speaking, Dr Betta Edu, DG, CRS Primary Health Care Development Agency who represented the Honorable Commissioner for Health Dr Inyang Asibong at the openning ceremony said she was grateful to Unicef for sponsoring this project. She noted that over 58% of pregnant women across the state do not know their HIV Status and for the state to succeed in this project it must find innovative ways of reaching out to pregnant women even in the communities. She also emphasised on integration of services as a strategy to achieve more results in eliminating mother to child transmission of HIV. while urging Cross Riverians to go and check themselves at the nearest Health facility.  “Our digital Governor, Sen (Prof) Ben Ayade and his wife Dr Linda Ayade are very interested in the total elimination of mother to child transmission of HIV & AIDS in the state. They have pledged to support the process till its attainment in 2020.

    According to her it is expected that the implementation of this framework by the foot soilders, front line health workers and partners will significantly reduce the burden of MTCT of HIV in CRS & Nigeria in line with the Presidential directives which declared PMTCT of HIV & AIDS a priority for National response in the country. Finally she said it will provide access to at least 90% of HIV exposed infants to more efficacious ARV Prophylaxis by 2017.

    Speaking also, Dr Inyang Asibong, Hon commissioner of Health CRS thanked UNFPA and UNICEF for the support towards developing this plan. She assured them of the support of His Excellency, Prof Ben Ayade on this elimination process of MTCT. She said the 3 year plan will reduce mother to child transmission of HIV & AIDS in CRS while urging everyone involved in the developmental plan to do everything humanly to achieved success at the end of the project.

    Closing the training, the state Governor Sen. Prof Ben Ayade represented by Hon (Dr). Ekpo Ekpo Bassey, House committee chairman on health and member representing Bakassi State Constituency in the CRSHA, noted that the training was very essential for health workers in the state as eliminating mother to child transmission of HIV&AIDS and ending the virus is one of their priority in this dispensation. He said already a strategic health plan for the state and multi year operational plan for primary health is on course which would define our focus areas for successful implementation. He assured them that the house is fully in support of the project.

    Finally the PHC coordinator of Biase, Mrs Lilly Ettah thanked the partners and state government for granting them this opportunity to be part of the developmental plan for PMTCT, in the state. She eulogize the state governor, commissioner and DG for successfully flagging of the project while assuring the partners of their total commitment to the elimination program.