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https://oyelabs.com/ubereats-clone/What role should traditional medicine play in Nigeria's health system?
Traditional medicine (TM), often referred to as "African Traditional Medicine" (ATM) or "Alternative Medicine" (though the latter term can be broader), plays an incredibly significant, and often indispensable, role in Nigeria's health system, particularly given the challenges facing conventional Western medicine.
Over 70-80% of Nigerians, especially those in rural and low-income communities, rely on traditional medicine for their primary healthcare needs.
The role of traditional medicine should ideally be one of integration, regulation, and research, leveraging its strengths while mitigating its risks, to complement and enhance the formal healthcare system.
Here's a breakdown of its current and potential roles:
I. Current De Facto Role (Filling the Gaps):
Primary Healthcare Provider for the Underserved: In many rural areas where modern healthcare facilities are scarce or non-existent, traditional healers are often the only accessible and affordable source of healthcare. They serve as the first point of contact for a vast majority of the population.
Affordability and Accessibility: Traditional remedies and consultations are often cheaper than orthodox medicine, and payment in kind (e.g., farm produce) can be acceptable. Traditional practitioners are typically located within communities, making them highly accessible.
Cultural and Spiritual Resonance: Traditional medicine often takes a holistic approach, addressing not just physical ailments but also spiritual, psychological, and social dimensions of health. This resonates deeply with the cultural beliefs and worldview of many Nigerians regarding disease causation and healing.
Treatment of Specific Ailments: Traditional medicine has long been relied upon for managing certain conditions, such as:
Bone setting: Traditional bone setters (TBS) are popular for treating fractures and dislocations.
Mental health: Traditional healers often deal with mental illnesses, which are frequently attributed to spiritual causes in many Nigerian cultures.
Obstetrics and Gynecology: Traditional birth attendants (TBAs) play a significant role in maternal care, particularly in rural settings.
Herbal Remedies: A vast array of medicinal plants are used to treat common ailments like malaria, fever, skin infections, and digestive issues.
Source of New Drug Discovery: Many modern pharmaceutical drugs have their origins in traditional plant-based remedies (e.g., quinine from cinchona bark for malaria, artemisinin from Artemisia annua).
II. The Ideal and Future Role (Integration, Regulation, and Research):
Integration into Primary Healthcare:
Referral System: Traditional practitioners can be trained to recognize conditions beyond their scope and refer patients to modern health facilities. Conversely, orthodox doctors should be educated about common traditional practices to facilitate communication and understanding with patients.
Collaborative Care: For certain conditions, a collaborative approach could be beneficial, where traditional and modern practitioners work together, especially in areas like mental health, rehabilitation, and chronic disease management.
Community Health Workers: Traditional healers, with their deep community trust, could be integrated into community health worker networks for health promotion, disease prevention, and surveillance.
Standardization and Regulation:
National Policy and Legal Framework: Develop clear national policies and legal frameworks for the practice of traditional medicine, defining roles, responsibilities, and standards.
Registration and Licensing: Establish a robust system for the registration, licensing, and certification of traditional medicine practitioners (TMPs) to ensure they meet minimum standards of training and ethics.
Quality Control of Herbal Products: Implement strict regulations for the cultivation, harvesting, processing, packaging, labeling, and marketing of herbal remedies. NAFDAC (National Agency for Food and Drug Administration and Control) has a role here in ensuring safety, quality, and efficacy.
Code of Ethics: Develop and enforce a code of conduct and ethics for TMPs to curb quackery, exploitation, and harmful practices.
Scientific Research and Validation:
Efficacy and Safety Studies: Conduct rigorous scientific research, clinical trials, and toxicological studies on widely used traditional remedies to ascertain their efficacy, safety, active compounds, dosages, and potential side effects or drug interactions.
Preservation of Knowledge: Document and archive traditional medicinal knowledge (which is often oral and localized) to prevent its loss and facilitate scientific study. This also raises issues of intellectual property rights for traditional knowledge holders.
Drug Discovery: Invest in pharmaceutical research and development to identify new drug candidates from Nigeria's rich biodiversity, collaborating with traditional healers.
Education and Training:
Formal Training for TMPs: Develop formal training programs for TMPs that combine traditional knowledge with basic modern medical concepts (e.g., anatomy, physiology, hygiene, first aid, record-keeping, referral protocols).
Cross-Cultural Education: Incorporate elements of traditional medicine into the curriculum of modern medical and nursing schools to foster understanding, respect, and potential collaboration.
Public Education: Educate the public on the importance of seeking validated and regulated traditional medicines, and the dangers of harmful practices or unproven remedies.
III. Challenges to Integration:
Lack of Standardization: The diverse, often secretive, and undocumented nature of TM practices.
Safety and Efficacy Concerns: Issues with dosage, purity, potential toxicity, and lack of scientific evidence for many traditional remedies.
Quackery: The prevalence of charlatans and untrained individuals who exploit public trust.
Professional Skepticism: Resistance and distrust from some orthodox medical practitioners towards TM.
Spiritual vs. Scientific Divide: The challenge of reconciling spiritual and cultural aspects of TM with the scientific, evidence-based approach of modern medicine.
Despite these challenges, ignoring traditional medicine in Nigeria is not an option. Its widespread use and cultural significance necessitate its proper integration into the national healthcare system, ensuring safety, efficacy, and ultimately, better health outcomes for all Nigerians.
Do imported goods meet long-term quality, safety, and environmental standards suitable for our context?
In general, no, imported goods from certain regions often do not meet long-term quality, safety, and environmental standards that are suitable for our context.
While many nations have regulatory bodies and consumer protection laws to address these issues, the reality on the ground is that a significant volume of low-quality, unsafe, and environmentally damaging goods still enters the market.
Quality and Safety-
Many imported products, particularly from mass-production hubs, are manufactured to meet a lower price point rather than a high-quality standard. This leads to reduced product lifespan, meaning consumers must frequently replace items, which is a hidden cost.
Furthermore, there's a serious risk to consumer safety. Products like electronics, toys, and even food items may not undergo rigorous testing, potentially containing hazardous materials or failing to meet electrical safety standards. This can lead to health risks, injuries, or fires.
In many developing nations, the regulatory bodies responsible for inspecting imports are often under-resourced and cannot effectively police the massive volume of goods entering the country.
Environmental Standards-
The environmental cost of over-importation is immense and often overlooked. Goods from nations with lax environmental regulations are typically produced using processes that generate more pollution and consume more resources. This results in:
Toxic Waste: The manufacturing process can involve toxic chemicals, which may not be properly disposed of, contributing to global pollution.
Non-Sustainable Products: The final products are often not designed for repair or recycling, contributing to large-scale waste. This is particularly problematic in nations that lack robust waste management infrastructure.
Carbon Footprint: The sheer distance over which these goods are transported adds a substantial carbon footprint to the final product.
The Challenge of Enforcement-
While countries like South Africa and Ghana have established organizations like the International Trade Administration Commission (ITAC) and the Ghana Standards Authority to enforce standards, the task is daunting.
The sheer volume of imports, combined with limited resources for inspections and testing, means that many non-compliant products slip through the cracks.
Additionally, weak consumer protection laws or a lack of public awareness can make it difficult for consumers to seek redress for faulty or unsafe goods.
Stop The Senseless Slaughter and Starvation in Gaza.
While the world waits and watches for a settlement of the Central European crisis, Gazans die from starvation and from wounds inflicted by Israeli bombs. Much of the world has ignored the suffering there in the same way nations did during the 1930s and 1940s when the United States and its allies were indifferent to the Nazi slaughter of millions of Jews in Europe.
The Gaza Health Ministry run by Hamas estimates that since the Hamas attack on Israeli civilians on Oct. 7, 2023, the number of dead Palestinian men, women and children comes to more than 60,000, with 80 percent of them civilians. The Reuters news agency reports that food supplies are at an all-time low and starvation is at a record high. Parents are watching their children suffer horribly, slowly waste away and eventually die a painful death. Enough already.
Israel claims that it’s military goes to great lengths to avoid civilian casualties. If that is true, military officials are doing a horrible job. Israel has already decapitated Hamas leadership and killed thousands of their soldiers. The nation’s renewed aggression is an attempt to kill a mosquito with a sledgehammer. Things are so horrible in Gaza that even diehard conservatives like Tucker Carlson and Rep. Marjorie Taylor Green (R-Ga.) have complained about Israeli policies there.
Irish support for Palestinians comes naturally and runs deep. My ancestral homeland was the first member of the European Union to endorse Palestinian statehood. The Irish fully appreciate the horrors of starvation.
The great Irish famine in the 1840s was a product of deliberate state sanctioned starvation. The Bannon and Ryan families came to America in the 19th century because of English starvation policies. There was actually plenty of food in Ireland but the Brits exported everything back home except for potatoes. When the potato blight hit and the crop failed, approximately one million Irish men, women and children died from starvation and sickness and another million left their cherished homeland to settle in America and around the world.
To make the lot of the Palestinians worse, if that’s even possible, Israel wants to launch an another offensive in Gaza City and turn it into a military enclave by removing the native population. The big difference between the Irish diaspora and the natives of Gaza is they have nowhere to go to begin a new life like my family did. Trump’s crusade to deport Mexicans and Muslims doesn’t allow any opportunities here for displaced Arabs. Even the European nations sympathetic to the Palestinian cause are under pressure from anti-immigration groups.
Israeli Prime Minister Benjamin Netanyahu’s cruel policies create more problems than it solves with military aggression and starvation in Gaza. Israeli government policies will produce short-term gain of territory for long-term pain.
Israeli’s actions will create a new generation of terrorists which will plague the nation and its allies for a generation. Clear out Gaza for the valuable real estate that may one day house a luxury Trump casino and resort on the Mediterranean. The new lavish coastal resorts inevitably will become a target for attacks by a new generation of displaced Gazans.
Israel is a small nation surrounded by danger. Survival requires friends and allies abroad. But the country’s draconian actions have eroded the respect of Europeans and Americans who have stood by the nation in the past.
Trump broke with Netanyahu who denied the existence of starvation in the strip. But the president hasn’t done anything to follow up on his pledge to feed the hungry. Napoleon said that an army marches on its stomach. Terrorists attack on empty stomachs.
Trump’s former national security advisor John Bolton believes that more than anything else his former boss wants a Nobel Peace Prize. Give the devil his due and let him have the honor if he’s brave and caring enough to send massive supplies of food and medicine there, to stop the Israeli military offensive and to force Hamas to release the Israeli hostages. If he alleviates the crisis, the world will see him in a much brighter light.
If Trump really wants to stop the senseless civilian slaughter and starvation and earn the great honor, he must turn the screws on Netanyahu. The ball is in Trump’s court.
++++++++++++++++++++++++++++++++++++++++
South Sudan ‘approves’ Israeli plan to send Gazans to country-
South Sudan’s cabinet has agreed to receive Palestinians from the Gaza Strip following a request from Israel, The Telegraph has learnt.
A foreign ministry official in Juba said the government had approved the request as part of a deal which also involved the US and United Arab Emirates.
The move comes as Benjamin Netanyahu, the Israeli prime minister, is attempting to revive the controversial idea of “voluntary” resettlement of civilians from the enclave.
On Wednesday, South Sudan described claims of a deal as “baseless” and not reflective of official government policy.
However, it has been claimed that the government has in fact agreed to work with Israel, raising the potential of a serious row from countries who oppose any suggestion of resettlement of Gazans.
The UAE would provide accompanying funding, which would be an economic lifeline for one of the poorest countries on Earth, the foreign ministry official said.
Meanwhile, America would lift sanctions on South Sudan, and Israel would invest in health and education.
“The South Sudanese land is enough to host more people from different nations, and also it’s good for the South Sudanese to open wide the window for external business to grow the economy,” the official said.
He added that the deal had been agreed by the cabinet but faced stiff opposition elsewhere, meaning the government was unwilling to acknowledge it.
“This kind of deal is not easy for South Sudanese to understand right now and also we have a very complex political situation in South Sudan,” he said.
One MP told The Telegraph that the matter had been discussed in Parliament but rejected by a majority of parliamentarians.
He said: “I myself reject it because South Sudan is a very young country. We are not able to feed ourselves, how can we get more people to live with us?
“In the next meeting we are going to reject it again from the Parliament. This idea is unacceptable to us.”
The debate came as Sharren Haskel, Israel’s deputy foreign minister, arrived in Juba to sign a “memorandum of understanding on bilateral consultations”.
Moving them from one land already ravaged by war and famine to another would only amplify that concern.
‘Voluntary’ relocation
News of the possible South Sudan deal broke after Mr Netanyahu appeared on Israeli television to revive discussion about relocating civilians from the Strip.
The idea was first proposed by Donald Trump, the US president, in February. He said the population should be removed and Gaza completely redeveloped to become part of what he envisaged as a “riviera” in the Middle East.
The Israeli government has floated the idea of relocation, but always said that it should be voluntary.
“Give them the opportunity to leave, first of all, combat zones, and generally to leave the territory, if they want,” said Mr Netanyahu on Tuesday, in comments that did not mention South Sudan.
“We will allow this, first of all within Gaza during the fighting, and we will certainly allow them to leave Gaza as well.”
Numerous foreign capitals and international bodies have previously warned against the plan, with some questioning if resettlement from Gaza could be considered genuinely voluntary, given the catastrophic damage to infrastructure and the dire humanitarian situation.
They have also voiced fears that voluntarily displaced Palestinians would not be allowed to return, citing comments made by Mr Netanyahu’s ultra-nationalist coalition partners calling for the re-establishment of Jewish settlements in Gaza.
A feature of the recent Operation Gideon’s Chariots, Israel’s new ground offensive, has been the wide-scale demolition of residential buildings. It is likely the same tactic will be used in the upcoming assault on Gaza City, confirmed last week.
Forcibly displacing a population could be considered a war crime.
Investigating feasibility
The Associated Press reported multiple sources as confirming the current talks between Israel and South Sudan.
Joe Szlavik, founder of a US lobbying company working for South Sudan, also said that he had been briefed by officials on the talks.
He said an Israeli delegation planned to visit the country to investigate the feasibility of setting up camps.
Ms Haskel’s trip is the first official visit to South Sudan by an Israeli government representative.
In a statement, she said: “While the international community is focused solely on Gaza, South Sudan is facing a real humanitarian crisis and the threat of genuine famine.”
Obvious destinations
As neighbours with formal relations with Israel, Egypt and Jordan would be the most obvious destinations for any departing Palestinians.
However, both have staunchly opposed any such scheme, despite significant pressure from Mr Trump.
Israel is said to have held talks with Indonesia, Libya, Ethiopia, Somalia and Somaliland about the possibility of accepting Gazans, but it was reported that these had not borne fruit.
South Sudan is in desperate need of foreign cash to help itself rebuild after years of instability and war with Sudan, its Arab-dominated neighbor.
It has been reported that they accepted help from Israel’s Mossad spy agency during their civil war with Khartoum.
Emigration inevitable
South Sudan also wants Mr Trump to lift the US travel ban on the country.
But Egypt has reportedly lobbied South Sudan not to co
Should education be completely free and compulsory until a certain level?
The question of whether education should be completely free and compulsory up to a certain level is a widely debated topic, but the consensus among international human rights bodies and most developed and many developing nations is a resounding "yes" for at least primary education, and increasingly for secondary education.
Here's a breakdown of the arguments for and against, and the general global trend:
Arguments for Free and Compulsory Education (Up to a Certain Level):
Human Right: International human rights law, enshrined in documents like the Universal Declaration of Human Rights and the International Covenant on Economic, Social and Cultural Rights (ICESCR), recognizes education as a fundamental human right.
Primary education is explicitly stated as needing to be compulsory and free, with secondary and higher education progressively made free.
Increased Access and Equity:
Breaks the Cycle of Poverty: Financial barriers are a major reason why children, especially from low-income families, do not attend school. Free education removes these barriers, allowing all children, regardless of socioeconomic background, to access learning opportunities.
Reduces Inequalities: It helps to level the playing field, giving marginalized groups (girls, rural children, minorities) a better chance at education and future opportunities.
Societal Benefits:
Economic Growth: A more educated populace leads to a more skilled workforce, higher productivity, increased innovation, and greater economic competitiveness. Educated citizens are more likely to find employment, earn higher wages, and contribute more taxes, stimulating the economy.
Improved Health Outcomes: Educated individuals (especially women) tend to make more informed health decisions, leading to better public health outcomes, lower child mortality rates, and improved maternal health.
Reduced Crime and Social Stability: Education is correlated with lower crime rates. It fosters critical thinking, civic responsibility, and social cohesion, contributing to a more stable and peaceful society.
Active Citizenship: An educated populace is more likely to be engaged in civic life, understand their rights, and hold their leaders accountable, strengthening democratic institutions.
Child Protection: Compulsory education keeps children in schools and out of exploitative labor, reducing child labor and protecting them from harmful practices like early marriage.
National Development: Education is a cornerstone of sustainable national development across all sectors – agriculture, health, technology, governance, etc.
Arguments Against (or Challenges to) Fully Free and Compulsory Education:
Financial Burden on Governments: Providing truly free and quality education for all is incredibly expensive. It requires massive public investment in infrastructure, teacher salaries, learning materials, and technology. This is a significant challenge for developing countries with limited tax bases.
Quality Concerns:
Overcrowding: If not managed properly, universal free education can lead to overcrowded classrooms, diluting the quality of instruction.
Resource Strain: Spreading limited resources across a much larger student population can lead to inadequate supplies, poor facilities, and overworked teachers.
Reduced Accountability (Perceived): Some argue that if education is free, students might take it less seriously, and parents might be less invested, potentially leading to lower academic performance. However, this is often debated and depends heavily on the quality of the system.
Opportunity Costs for Families:
Even if tuition is free, there are indirect costs (uniforms, books, transport, food). For very poor families, the opportunity cost of sending a child to school (i.e., the income the child could have earned) can still be a significant barrier.
Curriculum Relevance (if not updated): Making education compulsory without ensuring its relevance to the job market or societal needs can lead to graduates who are educated but still unemployable, creating frustration.
Global Trend and Conclusion:
Globally, almost all countries have laws for compulsory education, and a significant majority provide free primary education. There's a growing trend towards making secondary education free and compulsory as well, recognizing its increasing importance in a knowledge-based economy. For instance, India's National Education Policy 2020 aims to make education free and compulsory for children aged 3 to 18.
For Nigeria, the argument for making education completely free and compulsory until a certain level (at least up to senior secondary school) is overwhelmingly strong.
It is not just an aspiration but a fundamental necessity for social equity, economic development, and national stability. The challenges, primarily funding and quality control, are significant but must be overcome.
These are investments that yield substantial long-term returns in human capital and national prosperity. The current system where primary education is nominally free but plagued by hidden costs, and secondary education often carries fees, still leaves millions of children out of school and perpetuates cycles of poverty and inequality.
There isn't a single, universally applicable percentage for the amount of a national budget or consumer spending dedicated to imports, as this varies drastically by country and is influenced by a nation's size, economic structure, and trade policies. For example, some data from the U.S. suggests that around 10-11% of personal consumer spending can be traced to imported goods, but this figure includes a complex mix of finished products and imported components used in domestic manufacturing.
The hidden costs of this over-reliance on imports are substantial and go far beyond the price tag of a single product.
The Hidden Costs of Over-Importation
The true cost of a reliance on imports isn't just the money spent, but the long-term damage to a country's economic and strategic health.
Decline of Local Industries: The most significant hidden cost is the erosion of domestic manufacturing. Cheap imports often make it impossible for local producers to compete on price, leading to factory closures, job losses, and the loss of critical skills and expertise. This stunts a nation's ability to innovate and diversify its economy, trapping it in a cycle of dependency.
Increased Economic Vulnerability: An over-reliance on imports makes a country's supply chains fragile and susceptible to external shocks. A global pandemic, geopolitical conflict, or trade dispute could disrupt the flow of essential goods, such as food, medical supplies, or technology components, with severe consequences for the economy and national security.
Currency Depreciation and Inflation: A trade deficit, where a country imports more than it exports, puts downward pressure on its currency. To pay for more imports, the country needs to sell more of its own currency to buy foreign currency. This increases the supply of the local currency and drives down its value. A weaker currency then makes all imports, including raw materials for local producers, more expensive, leading to imported inflation that hurts consumers' purchasing power.
Reduced National Sovereignty: Long-term economic dependence on a few key trading partners can be used as a form of leverage. A dependent nation may be pressured to align its foreign policy with its suppliers' interests to avoid trade sanctions or embargos. This compromises a country's ability to act independently on the global stage.