HEALTH INTERACTIVE WITH DR AMINU MAGASHI

Jigawa, My Dream State

healthinteractive@hotmail.com

It was not really out of love  for the people of Benue, Ebonyi, Ekiti And Jigawa states that the Department For International Development (DFID) of the British Government selected the four focal states for a long term project implementation aimed at addressing peculiar health, legal and social needs of the populace in those states. The said programmes, Partnership For Transforming Health Systems (PATHS) that seeks to achieve sustainable benefits for the poor by addressing basic health needs such as malaria, diarrhea, sexually transmitted infections, tuberculosis, and immunisable child hood diseases. Also Access to Justice Project, which is also aimed to support security and justice sector towards improved condition between members of the criminal sector, penal reform, improved policy and security for communities and improved access to justice. Another project ' State And Local Governments Program which works to strengthen the capacity of the 4 states and their respective LGAs towards responsive government, improved human resources management, efficient and pro poor resources, allocation and service delivery.

Looking at these 3 long term projects by DFID, in my own personal opinion as to the rationale of selecting the 4 focal states, the answer could not be far fetched, in the geo-. political zones of the 4 states, compared to the other states in the same zones, the 4 states are quite regrettably the poorest, least developed and bedeviled with squalor, poverty, diseases and ignorance, hence, in my own understanding the commitment of DFID to assist those states to catch up with sister states.

My bringing DFID programme in to this discourse is just for the sake of giving an example of the involvement of international donor agencies and civil societies in Nigeria towards health reform and development. Looking at the 4 states, Jigawa case is the worst, the state is being continuously hit by a lot of factors that hinders rapid development and growth and for it to come out of  that doldrums, a concerted effort by all and sundry from within and without need to be done through short and long term projects.

First and fore most, since the creation of the state in 1991 by Babangida Administration, 13 years precisely, one will be amazed and aghast as to the sluggish nature of development in the capital of the state (dutse) and other areas, apart from few infra structures and few business out fits, there is nothing to see or write home about. Looking at some indices of development, it is tearful to note that the maternal morbidity and mortality is on the high toll attributed to pregnancy and its complications (vesico- vaginal- fistula, anemia, malaria, eclampsia, obstructed labour and bleeding), infant and under five mortality rates are very pathetic and also attributed to death from immunisable diseases, malaria, diarrhea diseases and malnutrition to mention a few. Facilities to check the excesses of all these preventable cases are  not just available.

A lot have been said and written about Jigawa in the past and blames were apportioned to certain quarters without really making a sincere effort to fathom the actual problems and proffer solution accordingly. In May, 1999, the month that Nigerians witnessed the emergence of Alhaji Saminu Turaki, the ubiquitous and most widely over sea traveled governor in the country as the captain of the ship that will transform the state from its rural and poor nature to what every body will envy, although up till now it is not yet uhuru, majority of the past commentators both within and without have apportioned  most of the blame on the governor and it seems such one directional attack will continue till 2007 when someone will assume the mantle of leadership  of the already exploited and bastardized state Another angle to the problem, is the fact that, majority of the civil servants of the state are residing in kano and travel to their working place in the morning and come back to kano in the afternoon, while such habit is highly discouraging and is an exhibition of non chalant attitude, but never the less, one may not out rightly blame them because as I mentioned earlier, there is nothing in the capital that will attract someone to reside there permanently, no basic health and social services, no adequate communication systems and  no recreation and relaxation areas, what is more worrisome and consternating is the fact that while almost 100 percent of the indigenes of the states  are practicing one religion, are of the same tribal, ethnic group,  with same culture, norms and values, how ever they relate and interact based on the emirate council one  belong. They see themselves first from this and that emirate before seeing themselves as indigenes of the states (a phenomena which is hardly the case else where). That factor has and will continue to affect the level of patriotism and commitment towards serving the state as a whole and unless the youth in the state who are the leaders of tomorrow are willing to bury that cancerous attitude and let by- gones  be   by gones, collective development in the state will not be only sluggish, a  dilly dally,  but it will continue to remain a fantasy.

My aim of this writing is to recommend another formula to try for the development of the state, of course not to put blame on some individuals and end of doing nothing, as it was the case in the past. In a simple language, with passion, I vehemently believe that, the involvement of civil societies in the state will go along way in addressing the hopeless nature of the people of the state. While I commend DFID for taking that long term initiative, how ever, at this juncture I have to say that the implementation of their funded projects are adopting chameleonic approach and not well coordinated to see glaring results. The agency has to gear up to hasten research and to do  actual community work.

The involvement of civil societies shall take three dimensions,  the international donor agencies and national NGOs as a matter up urgency shall partner with the many available NGOs in the state who lack the where withal and capacity to execute any meaningful projects. In essence, the work of the agencies would be to over along period of time build and strengthen the capacity of professional bodies and NGOs to function effectively, such assistance shall be towards provision of training, supply of office facilities and funding to execute educational, heath and social services with the overall aim towards poverty alleviation.

The second angle, is for the identification of future and potential leaders    of the state to provide them with leadership training in the areas of democracy and good governance, civic engagement, rights issues and development, I want to believe that there are many of such leadership programmes in Nigeria that can accommodate this task of operation save Jigawa state.

The third angle to this task is working with governmental agencies and para-statals at the state and LGA level to assist towards policy reform, legislation, health care delivery system and encouraging organized private sector initiatives towards investment and sustainable development. In my own opinion, if there is any foreign investment that the current administration in the state needs to woo is nothing other than the involvement of civil societies.