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Midwife investment is non-negotiable for mother, child survival -- NANNM
By Admin
As Nigeria joined the rest of the world to mark the 2026 International Day of the Midwife with the theme “One Million More Midwives”, key health stakeholders have demanded for increased investment in the training, retention and welfare of midwives, warning that the country cannot reduce maternal and newborn deaths without rapidly expanding its skilled birth workforce.
Making the call in Lagos during a symposium organised by the Directorate of Nursing Services, Lagos State Ministry of Health, the Chairman of the Lagos State chapter of the National Association of Nigerian Nurses and Midwives (NANNM), Comrade Christiana Adeboboye, decried the shortage of midwives, saying it has become a major threat to safe pregnancy, safe delivery and postnatal care.
Adeboboye, who said midwives remain central to maternal and child survival, called for greater investment in midwifery education, improved infrastructure and stronger welfare packages to make the profession more attractive.
“We are short of midwives, we need more midwives because they are critical to safe pregnancy, safe delivery, and the postpartum period. This is why we are advocating, locally and globally, for greater investment in midwifery.
“We need more midwifery colleges, and more training institutions. We need to produce more midwives at university level and at every level where midwives can be trained. We are advocating for more midwives, better empowerment for midwives, and better infrastructure,” she said.
Adeboboye argued that achieving the maternal and child health targets under the Sustainable Development Goals by 2030 would require stronger partnerships between government, professional bodies and development partners.
On the challenge of brain drain, she called for urgent expansion of training opportunities through more midwifery colleges and increased production of midwives at both university and professional levels, focusing on retaining those already in the system.
“When we train people, we are not training them to leave, although it is a free world and people can go wherever they choose, but there must be retention strategies that make them feel they can stay and contribute to their country.
“Midwives are specialists, yet there is no specialist allowance for them. If specialists are paid according to their expertise, then midwives should also be properly compensated for the specialised work they do.
“Midwives working in rural and riverine communities should have access to good housing, accommodation, and transportation. We have communities behind the waterways, and people there still need skilled birth attendants. We must think beyond incentives. We must create conditions that attract, retain, and encourage midwives,” she said.
The Director of Epidemiology, Biosecurity and Global Health, Lagos State Ministry of Health, Dr. Ismail Abdulsalam, who represented the Permanent Secretary of the Lagos State Ministry of Health, Dr. Oladipo Oluwaloni, the call for one million more midwives could not have come at a better time.
“Nigeria, as one of Africa’s most populous countries, still faces a high maternal mortality rate. The Federal Government and Lagos State Government are making efforts to reduce this. Lagos State has been proactive over the years through maternal and child health centres across the state, as well as through the general hospitals. We also advocate greater investment in the education and training of more midwives.
“The Governor of Lagos State, together with the Ministry of Health and the House of Assembly, has approved the Lagos State University of Medicine and Health Sciences, aimed at producing more doctors, nurses, pharmacists, and other health professionals.
“The Lagos State government is also trying to encourage workers. Recently, the Governor approved a ₦50,000 wage award for civil servants, but beyond remuneration, we must also provide an enabling environment for midwives to work.
“We want to reduce maternal mortality, perinatal mortality, infant mortality, and deaths related to childbirth; we also need stronger public-private partnerships. Through corporate social responsibility, the private sector can support government efforts because the government cannot do everything.
The Policy and Advocacy Coordinator on the BOOST Project with Save the Children International, Dr. Itunu Dave-Agboola, remarked that Lagos State was reducing maternal and child mortality over the years.
“But there is still much more to do. We continue to experience serious brain drain in the health sector, and we appeal to the government to do more to attract and retain skilled professionals. Inadequate human resources make the work overwhelming for nurses and midwives. They are overworked and under pressure,” she said.
Urging government to take stronger action against quackery she lamented that quacks continue to deceive mothers and families, and lives are being lost because of it.
“We appeal for increased domestic resource mobilization for routine immunisation and maternal and child health. Many children are still dying from preventable diseases, especially in hard-to-reach and riverine communities, we must ensure that they too have access to quality healthcare services,” she said.
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Why 1 in 3 early-stage kidney cancer patients show no symptoms
The UK's leading kidney cancer charity has warned that 'highly restrictive' health guidelines mean a fifth of patients are getting diagnosed at the most advanced stage of the disease.
New data from Kidney Cancer UK found that one in five kidney cancer patients are being diagnosed at stage 4, when life expectancy past five years drops significantly.
In Kidney Cancer UK's 12th annual patient survey, the report found that approximately three-quarters of people diagnosed with stage 3 kidney cancer survive for at least five years.
But for those diagnosed at stage 4, when the cancer has spread to other organs, five-year survival falls significantly to around 10–15 per cent.
New data from Kidney Cancer UK found that one in five kidney cancer patients are being diagnosed at stage 4, the most advanced stage of the disease
People born in 1990 are up to three times more likely to develop the disease than those born in the 1950s - a trend doctors say is partly driven by rising obesity and high blood pressure.
One of the biggest challenges with kidney cancer is that early-stage disease (stages one and two) is almost entirely symptom-free. As a result, there are often no warning signs to indicate cancer is present unless investigations are carried out for an unrelated reason.
When looking at the time from first feeling unwell and seeking medical advice to receiving a diagnosis, the survey results show that almost a third of patients waited more than three months.
In the period before referral for diagnosis, more than one in four patients are initially diagnosed with a different condition, adding to the overall time it takes for a diagnosis to be made.
The survey also found that in patients diagnosed at stages 1-3, the most common symptoms reported were pain in the back/flank/side, blood in urine and fatigue. However, notably, 29 per cent reported no symptoms at all.
In patients diagnosed at stage 4, the most common symptoms reported were pain in the back/flank/side, fatigue, blood in urine and weight loss. Of these patients, 15 per cent still reported no symptoms at all.
While the survey reveals the high percentage of kidney cancer patients diagnosed at stage 4, it also reveals that over a quarter are diagnosed at stage 3. The charity is calling for a clear and government-funded research strategy to develop a simple, inexpensive test for use in primary care. Currently, there is no simple blood test or easy method of early detection.
Prof. Grant Stewart, Professor of Surgical Oncology at the University of Cambridge and Consultant Urologist at Addenbrooke's Hospital, Cambridge, says: “The finding that just over 20 per cent of patients are now being diagnosed with stage 4 kidney cancer represents a concerning year-on-year increase.”
Men suffer critical heart disease earlier than women – Study
Heart disease risk begins to climb for men in their mid-30s, years before it rises for women, a decades-long study tracking people from young adulthood has uncovered.
From the study titled "Sex Differences in Age of Onset of Premature Cardiovascular Disease and Subtypes: The Coronary Artery Risk Development in Young Adults Study," men reached a 5 percent risk of cardiovascular disease roughly seven years earlier than women, revealing a clear and early gap in heart health.
The study was published in the Journal of The American Heart Association. The research team analysed data from the Coronary Artery Risk Development in Young Adults (CARDIA) study. The project enrolled more than 5,100 Black and white adults between ages 18 and 30 in the mid-1980s and followed them through 2020.
Because participants were healthy at the start, the researchers were able to identify when cardiovascular disease risk first began to separate between men and women. Men reached a 5 percent rate of cardiovascular disease, defined broadly to include heart attack, stroke and heart failure, about seven years earlier than women (50.5 versus 57.5 years).
Coronary heart disease accounted for most of this difference, driving the earlier rise in risk among men. Heart disease risk looked similar for men and women until about age 35, when men's risk began to increase more quickly.
According to the long-term study led by Northwestern Medicine, based on more than 30 years of follow-up, the findings suggest that heart disease screening and prevention may need to begin earlier in adulthood, especially for men.
"That timing may seem early, but heart disease develops over decades, with early markers detectable in young adulthood," said study senior author Alexa Freedman, assistant professor of preventive medicine at Northwestern University Feinberg School of Medicine.
"Screening at an earlier age can help identify risk factors sooner, enabling preventive strategies that reduce long-term risk."
Previous research has long shown that men tend to develop heart disease earlier than women. Over time, however, common risk factors such as smoking, high blood pressure and diabetes have become more alike between the sexes. Because of this, researchers expected the difference in heart disease timing to shrink. Instead, the gap remained. That result was unexpected, Freedman said.
To better explain why these differences continue, Freedman and her colleagues say researchers need to look beyond standard measures like cholesterol and blood pressure and consider a wider range of biological and social influences.
Most of this difference was due to coronary heart disease. Men reached a 2 percent incidence of coronary heart disease more than 10 years earlier than women. Stroke rates were similar for both sexes, and differences in heart failure appeared later in life.
"This was still a relatively young sample -- everyone was under 65 at last follow-up -- and stroke and heart failure tend to develop later in life," Freedman explained.
One of the most notable findings was when the risk gap began. Men and women had similar cardiovascular risk through their early 30s. Around age 35, men's risk increased more quickly and remained higher through midlife.
Many heart disease prevention and screening efforts focus on adults older than 40.
The new results suggest this approach may miss an important early window for action.
"Our findings suggest that encouraging preventive care visits among young men could be an important opportunity to improve heart health and lower cardiovascular disease risk," Freedman said.
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