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Screening for cancer: Understanding the basics

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When it comes to cancer, people have many questions but unfortunately, the answers aren’t always clear. However, learning the basics can help in detecting the deadly ailment in its early stages and dealing with it accordingly.
Cancer screening is an important tool in the prevention of cancers in general because when abnormally proliferated tissue or cancer is found early, it becomes much easier and less costly to treat.
Dr Emmanuel Rudakemwa, an associate professor of radiology and imaging sciences at Oshen King Faisal Hospital, says that screening is an available tool used to make sure that the population at risk is checked with the purpose to detect cancers early as this helps people live longer and relatively stable.
With no particular cause of cancer yet certain, some cancers have increased likelihood risks of occurrence, this makes screenings very important.
Cancer screening has all the benefits related to individuals, family, social and nationwide importance, Prof Rudakemwa, says.
Screenings allow medics to see anomalies in the body that can be then tested for cancer. They also help detect early stage cancers, which makes it easier to treat.
“Prevention is better than cure and when it comes to non-communicable diseases and cancers in general, you encourage people to take care of their bodies,” he adds.
With the ever increasing cancer concern, cancer screenings are of great importance, however, not all cancers can be screened.
So which cancers can be screened and when?
BREAST CANCER
Rudakemwa notes that with breast cancer, screening is done by mammography.
“There is something we call a triple test which includes: clinical breast exam, breast ultrasound and then mammography, this increases the sensitivity and specificity to detect the cancer,” he explains.
Breast cancer screenings are usually done for women aged 35 years and above.
COLON CANCER
This is cancer of the colon or rectum, located at the digestive tract’s lower end. It affects both men and women though there is more relative dominance to men than women.
Rudakemwa says that this kind of cancer can be screened from the rectum (the final section of the large intestine) to the cecum (the beginning of the large intestine) and it is done for people aged 40 years and above, unless there are other medically indicated risk factors.
“We do colonoscopies, a procedure in which a flexible fibre-optic instrument is inserted through the anus in order to examine the colon. We can also do virtual CT colonoscopy and fortunately, we have that technology available here at Oshen King Faisal and a few other hospitals in Rwanda. Through the screening, we check your entire large bowel for any lesions,” he explains.
LUNG CANCER
Screening for this cancer is particularly done for the people that have high risks, that is, those who smoke.
“We are lucky most of the insurances are now accepting screening, people need to know this.
“For lung cancer screening, it is done for people aged 40 years and above and it can be done in so many ways, for example, chest X-ray and CT scan, where we are able to see the lungs and notice if there are any nodules. We also have computer aided techniques that enable us to see very small nodules, and if you detect them early, you are able to deal with them early enough, the professor says.
CERVICAL CANCER
The Pap smear is one of the most reliable and effective cancer screening tests for cervical cancers.
“In our set up, cervical cancers contribute to the highest burden of disease and the major cause of morbidity and mortality. But we are very lucky that we are able to fight this cancer through targeted screening and through extensive vaccination programme available in our country.”
It is advisable to go for check-ups between the ages of 35 and 65, and these should be done at least once in two years.
PROSTATE CANCER
It is one of the major causes of morbidity and mortality in African men.
It also has a genetic predisposition, for example, if a father had prostate cancer then a son should beware of the risks, always be vigilant and get checked, Rudakemwa notes.
It is also screened from age 40 and above. Screening is done through prostate specific antigen (an antigen detected in blood).
“There is a certain threshold at which we say that this is highly suspicious, we also combine this with a digital rectal examination, where you feel the prostate, and as you are touching or feeling the prostate, you know that it is not in a good state,” he says.
Rudakemwa also says that they can do a transrectal ultra sound and an MRI, which are both techniques and technologies available in Rwanda.
“All these procedures can act as screening measures but they can as well guide in the diagnosis,” he says.
HOW OFTEN SHOULD ONE GO FOR SCREENING?
With our current national non communicable disease control plan, we advise an annual breast mammography and cervical cancer screening, bi-annual colorectal, lung and prostate check.
“There is, however, no compulsory number of times like it is in the developed world.
“Screening for all these cancers is possible and done at Oshen King Faisal because we are well-equipped to provide the services.”
RISKS ASSOCIATED WITH SCREENING
The risks are there but when one considers the benefits, it is important to opt for screening.
“Let’s say, for instance, with breast cancer, a mammography is risky because we use x-rays to generate images and radiation which can affect tissues.
“I can tell you that as a person who deals with people with cancer, it is best to opt for early screening because it’s only then that the cancer will be detected and doctors could be able to administer appropriate treatment and improve the outcome,” he says.

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Winning Tuesday with Aesthetic doctor, Ifeoma Ejikeme at the Adonia Medical Clinic. : The Young Netpreneur for the Week.

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New year, new skin regime
Advice and recommendations to help make your beauty resolutions a reality

TOP TEAM: Dr Ifeoma Ejikeme, left, and Dija Ayodele

WHAT BETTER time is there than the New Year to set some new skincare goals?
If you struggle with your skin or just fancy a shakeup of your current beauty regime, then you’ve come to the right place. We recently teamed up with Dija Ayodele of Black Skin Directory who hosted an evening with the wonderful aesthetic doctor, Ifeoma Ejikeme at the Adonia Medical Clinic.
An evening full of skincare tips and product recommendations, guests were armed with information and advice to help establish an improved skincare life in 2019.

PROFESSIONAL: Dr Ejikeme doing an Obaji chemical peel

Dr Ejikeme led the session teaching guests about key skincare items for every routine, understanding ingredients suitable for black skin and the importance of including professional treatments in your regimen.
Guests were thrilled to witness a chemical peel demonstration and left satisfied in the knowledge that with an experienced practitioner, they are perfectly safe for black skin.
Beauty starts from the inside out, so firstly it is important to make sure you are eating the right things and getting those nutrients.
While it may be comforting to eat heavy winter based meals, your skin’s health and radiance depends on a balanced diet.
A daily intake of colourful fruits, vegetables, good quality fats, protein and carbohydrates will feed your skin internally with key vitamins and nutrients.
It’s also a recommendation that people with dark skin take a daily 10mg Vitamin D supplement.


HYDRATE
Replace the moisture in your skin by using a lightweight lotion or serum to build a comfortable layer of moisture.
Opting for thick moisturisers or slapping on facial oils and butters is often non-beneficial because they form a seal on top of the skin. This will prevent water loss, but will also stop the skin from attracting moisture from the environment and excreting waste and toxins. Too much oil and too little water will disrupt the skin’s surface pH, decrease the barrier and leave skin susceptible to certain disorders.

TREATMENTS
Often people can be sceptical when it comes to non-invasive treatments.
If done by a professional, they are completely safe and can be looked at as a boost for your home skincare regime.
Professional chemical peels, laser, dermal rolling, microneedling, mesotherapy and injectables are great at providing extra stimulation for the skin to deliver hydration, firmness, clarity and radiance.
These treatments induce skin health improvements through controlled wounding, so ensure your practitioner is experienced in treating darker skin tones in order to minimise any post treatment inflammation and hyper pigmentation.


PIGMENTATION
Pigmentation, one of the major skin concerns expressed by black women and women of colour. Uneven skin tone, acne scarring, dull, and ashy skin, are a few of the problems that can occur, and can worsen during the summer months.
To combat hyperpigmentation, products containing Tyrosinase Inhibitors (TI) should be used in your skincare regime. TI’s help to reduce excess melanin at source, and subsequently work to prevent hyperpigmentation. Hydroquinone is the strongest and quickest TI, which is only available on prescription. Over the counter TIs include serums that contain bearberry, liquorice root extract, kojic acid, and vitamin C.
Always go for the serum format, as that will work quicker on the skin. It is important not to forget your lips as they are very prone to sun induced pigmentation.
SUNSCREEN
It is so important to include sunscreen in your daily routine all year round, even on cloudy days. Pigmentation issues and dullness, which looks worse during the winter, can be improved by using a minimum SPF30 broad-spectrum UVA/UVB.

 

 

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The many gains of alcohol abstinence in one month

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British researchers have found that one’s health stands to reap numerous benefits by abstaining from alcohol for just one month, since drinking regularly is a major risk factor for cancer, liver and cardiovascular diseases, among other issues.
The study by researchers from the University of Sussex in Falmer, UK, shows just how much skipping alcohol for one month can improve your life and concludes that these benefits are long-lasting.
*93 percent of participants reported experiencing a sense of achievement at the end of the alcohol-free month
*88 percent had saved the money that they would otherwise have spent on drinks
*82 percent of participants reported an enhanced awareness of their relationship with alcohol
*80 percent felt more in control of their drinking habits
*76 percent understood when they felt more tempted to drink and why
*71 percent of participants learned that they did not need alcohol to have fun
*71 percent said that they enjoyed a better quality of sleep
*70 percent reported better overall health
*67 percent had higher energy levels
*58 percent of participants lost weight
*57 percent reported improved concentration
*54 percent said that they noticed better skin health
In the UK, a charity organisation Alcohol Change United Kingdom, encourages people to try giving up alcohol for one month at the start of the year. Thousands of people around the world pledge to take part in this campaign, called Dry January, each year. You too can sign on, if you love alcohol.
The research, which Dr. Richard de Visser from the University of Sussex led, found that people who took part in Dry January in 2018 reported higher energy levels and healthier body weight. They also felt less need to drink alcohol, even several months after participating in this initiative.
Dr. de Visser and team analyzed data that they collected from Dry January participants in three online surveys. A total of 2,821 people filled in a survey upon registering for the campaign at the beginning of January. In the first week of February, 1,715 participants completed a survey, and 816 participants submitted additional data in August 2018.
The researchers found that giving up alcohol for a month helped the participants reduce their number of drinking days later in the year. The number decreased from an average of 4.3 days per week before taking part in Dry January to an average of 3.3 days per week afterward.
Moreover, people who went teetotal for a month also got drunk a lot less frequently later on in the year. Rates of excessive drinking fell from an average of 3.4 times per month at baseline to 2.1 times per month on average.
In fact, Dry January participants also learned to drink less. They went from consuming an average of 8.6 units of alcohol per drinking day at baseline to 7.1 units of alcohol per drinking day later on.
“The simple act of taking a month off alcohol helps people drink less in the long term; by August, people are reporting one extra dry day per week,” notes Dr. de Visser.
“There are also considerable immediate benefits: nine in 10 people save money, seven in 10 sleep better, and three in five lose weight,” he adds.
Important benefits, however, are also available to those who give up alcohol for shorter periods. An alcohol-free month would be better, but even less than that can still boost a person’s health, Dr. de Visser says.
“Interestingly, these changes in alcohol consumption have also been seen in the participants who didn’t manage to stay alcohol-free for the whole month — although they are a bit smaller. This shows that there are real benefits to just trying to complete Dry January,” the researcher emphasizes.
“The brilliant thing about Dry January is that it’s not really about January. Being alcohol-free for 31 days shows us that we don’t need alcohol to have fun, to relax, to socialize,” says Dr. Richard Piper, the CEO of Alcohol Change UK.
“That means that for the rest of the year, we are better able to make decisions about our drinking and to avoid slipping into drinking more than we really want to,” Dr. Piper notes.
“Many of us know about the health risks of alcohol — seven forms of cancer, liver disease, mental health problems — but we are often unaware that drinking less has more immediate benefits too. Sleeping better, feeling more energetic, saving money, better skin, losing weight… The list goes on.”
“So, be it this January or later in the year, you may want to try swapping alcohol for tea, juice, or water for a month or even a few weeks. It could make you happier and healthier, and your bank account will thank you too”, said Piper.
*This article was originally published by Medical News Today

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Health Minister Advocates Multi-Sectorial Approach To Curbing Non-Communicable Diseases

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The minister of health Professor Isaac Adewole wants Nigerians to take urgent steps to curb the spread of non-communicable diseases in the country.

Professor Adewole said this at a high level meeting on the multi-sectorial action plan on non-communicable diseases in Nigeria.
Non-communicable diseases are diseases that are not transferable and they include cardiovascular disorders, respiratory disorders, diabetes, cancers, chronic kidney diseases and others.

These diseases according to the world health organization are regarded as the major causes of death globally.
The number of sufferers of non-communicable diseases in Nigeria is rising and experts believe that life style, urbanisation, smoking, use of tobacco, physical inactivity, and unhealthy diet are sometimes the factors.
To fight these diseases, the minister of health Isaac Adewole, says there is need for a multi-sectorial approach.
He also urged Nigerians to maintain a healthy lifestyle and reduce salt and sugar intake.
The world health organisation, head of non-communicable diseases said implementing the plan means Nigeria is on the right path to achieving the global 2025 non-communicable disease targets.

The document is to serve as a strategic guide for the national response to non-communicable diseases for the next six years in Nigeria.

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Snoring dangerous for women: New study

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A new study says both snoring and obstructive sleep apnea could lead to earlier impairment of cardiac function in women.
“Snoring” refers to a sleeping pattern in which a person breathes while emitting a snorting or grunting sound.
Although, the National Sleep Foundation suggests that 90 million people in the United States snore, snoring might become more dangerous as people age, and it can also lead to heart disease, especially for women.
There are different types of sleep apnea, but the most common is called obstructive sleep apnea (OSA). At least 18 million U.S. adults have sleep apnea.
This condition affects breathing patterns while sleeping, causing a person to stop breathing and start again repeatedly. About half of people who snore loudly have OSA.
When OSA occurs, the muscles in the throat that are responsible for keeping the airway open actually prevent the flow of air.
According to a new study presented recently at the annual meeting of the Radiological Society of North America — held in Chicago, IL — snoring and OSA may lead to earlier impairment of cardiac function in women than in men.
It is unclear whether or not sleep apnea directly causes heart disease, but some specialists believe that people with sleep apnea are at risk of developing hypertension, or high blood pressure.
Many people who have sleep apnea also have co-existing diseases. This is one of the reasons why it is harder to establish a direct link between sleep apnea and heart disease.
According to the American Heart Association (AHA), some people living with sleep apnea and high blood pressure who received treatment for sleep apnea also saw their blood pressure drop. Such findings show a possible link between hypertension and sleep apnea.
OSA is also associated with obesity, which is a risk factor for heart disease.
Obesity contributes to sleep apnea, and the sleep deprivation that sleep apnea causes can give rise to further obesity, in the long-term. As a person gains more weight, the throat muscles that keep the airway open relax, and sleep apnea becomes more serious.
The researchers analyzed data associated with cardiac parameters in relation to diagnosed OSA and self-reported snoring using data from the UK Biobank.
The UK Biobank is an international health resource, open to researchers, that aims to improve the prevention, diagnosis, and treatment of diseases.
The data were of 4,877 participants who had received a cardiac MRI scan. The scientists divided them into three groups: those with OSA, those with self-reported snoring, and those with neither.
When the researchers compared the snoring group with the group without sleep disorders, they found a striking difference in the left ventricular mass in women compared with men.
Increased left ventricular mass means that the heart needs to work harder to fulfil the body’s needs.
These patterns in people who self-reportedly snore may be an indication of undiagnosed OSA.
“We found that the cardiac parameters in women appear to be more easily affected by the disease and that women who snore or have OSA might be at greater risk for cardiac involvement.”
The researchers also found that the number of diagnosed OSA cases in the study was extremely low, suggesting that OSA may be underdiagnosed across the board.
Dr. Curta, a radiology resident at Munich University Hospital in Germany, urges people who snore to get screened for OSA and those with OSA to seek treatment.
“I would encourage people who snore to ask their partner to observe them and look for phases during sleep when they stop breathing for a short while and then gasp for air,” says Dr. Curta.
“If unsure, they can spend the night at a sleep lab where breathing is constantly monitored during sleep and even slight alterations can be recorded.”
The team now hopes to conduct more research to fully understand the sex differences linked to snoring and OSA.

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Kaduna launches multi media campaign on infant feeding

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The Kaduna State government is partnering with Alive and Thrive foundation, A&T to launch a multi media campaign to improve Infant and Young Child Feeding (IYCF) practices in the State.
The campaign was designed to create attitudinal and behavioural change amongst parents and care givers on IYCF practices.
During the launch, the State governor’s wife, Hajiya Aisha said the campaign, tagged “Start Strong’’ was designed to give a child a chance for a better future and quality life.
According to her, “that poor knowledge about early initiation of breastfeeding, exclusive breastfeeding and appropriate complementary feeding has remained a major challenge in the fight against malnutrition in the State. Hence, this multi media campaign to create the needed knowledge on IYCF to increase demand for nutrition services”.
She said trainings would be organised for journalist particularly on IYCF messages that could equip them with the needed information for the campaign.
The Governor’s wife said journalists had earlier received trainings on issues around nutrition and malnutrition and the situation in the State.
State Team Leader, Alive and Thrive, Mr Christopher Musa stated that, without the mass media, the fight against malnutrition cannot be achieved.
“That is why we are mobilising the media to take IYCF messages to all the nook and crannies of the State.
“The idea is to create the needed awareness on best feeding practices that ensures healthy growth and development of the child,” Musa said.
The State Commissioner for Health and Human Services, Dr Paul Dogo, described IYCF as a crucial step towards ensuring uninterrupted healthy growth of an infant especially in their first six months of lives.
According to him,“appropriate IYCF practices is key in laying the required foundation for a healthy generation that will take the State to greater heights.”
If we can get mothers to practise early initiation of breastfeeding and exclusive breastfeeding for six months, it will go a long way in preventing malnutrition.”

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UK pledges £50m to help stop FGM in Africa

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A five-year UK aid funded programme will also support in-country projects across Africa focusing on stopping FGM

FGM: BETTER IMAGINED THAN EXPERIENCE

THE UK has made the largest ever donor investment to help end the devastating and harmful practice of female genital mutilation (FGM) by 2030.
International Development Secretary Penny Mordaunt today (Nov 23) announced a new UK aid package to support the African-led movement to end FGM and provide better protections for vulnerable girls in some of the world’s poorest countries.
The announcement comes ahead of the International Day for the Elimination of Violence Against Women on Sunday (Nov 25).
UK aid will provide an extra £50 million – the biggest single investment worldwide to date by any international donor – to tackle this issue across the most affected countries in Africa.
Evidence shows the work of the grassroots activists and survivors, who have built the largest-ever movement to end FGM, has had results. Thousands of communities across Africa are abandoning the practice, and many countries now have legal frameworks in place and provide women and girls with protection and care services.
International Development Secretary Penny Mordaunt said: “Somewhere in the world, every seven seconds, a girl is at risk of FGM. Inspirational, courageous African women are leading efforts to end the practice in their own countries, and thanks to them, more communities are starting to abandon the practice.
“But progress is at a critical juncture and we must work to protect the millions of girls that are still at risk of being cut. We also can’t end FGM in the UK without ending it globally.
“I am proud UK aid is supporting the growing Africa-led movement against FGM and empowering women and girls in some of the world’s poorest countries to stand against the practice. Together, we can build a safer, healthier and more prosperous world for every child.”
DFID will work with governments to get laws in place banning FGM; work with religious leaders to call for an end to FGM and dispel the myth that it is a religious practice – a major barrier in many countries; and support doctors, midwives and nurses to help end FGM and care for survivors.
A five-year UK aid funded programme will also support in-country projects across Africa focusing on prevention, protection, education and legislation to stop FGM. It will do this by training advocates and leaders to talk to women, men, girls and boys in their communities about FGM. The programme will also educate people about the impact FGM has on young girls, through workshops, dramas and community discussion groups. It will also call on communities to no longer carry out the practice.

 

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Mrs Obiano Initiates Another Round Of Free Prosthetic Limbs Distribution To Physically Challenged Persons

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The Caring Family Enhancement Initiative (CAFÉ), a non-governmental organization of Wife of the State Governor Dr. (Mrs.) Ebelechukwu Obiano is inviting physically challenged persons who are in need of prosthetic Limbs otherwise known as Artificial limbs to come for the measurement of their sizes before fitting.
The exercise will hold between Wednesday and Friday this week at Dora Akunyili Women Development Centre Awka between seven o’clock in the morning and five o’clock in the evening daily.
A statement from the Office of the Governor’s wife made available to the ABS said that the prosthetic limbs are free and only those whose measurements were taken would be invited for the prosthetic fitting.

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FGM: BETTER IMAGINED THAN EXPERIENCE

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FGM: BETTER IMAGINED THAN EXPERIENCE

By Funke Fayemi,

 

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Over 1.5m citizens Benefit From Oyo Free Health Programmes — Ajimobi

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Oyo State Governor, Senator Abiola Ajimobi, has disclosed that over 1.5million people have so far benefited from the administration’s free health programmes across the state from 2012 till date.
The governor disclosed this during a visit by a delegation from UK-based Jesus House Mission; officials of the Access to Basic Medical Care Foundation (ABC), led by the Founder and wife of the governor, Chief Florence Ajimobi; and state health ministry officials.

…2500 more set to benefit as UK-based health mission arrives the state.

The team had visited the governor preparatory to the commencement of a five-day free health services, starting from Monday and targeted at 2500 beneficiaries across the state for the period.
With the support of ABC, Ajimobi said that many people suffering from minor to major ailments, including surgeries have been attended to under the free health mission in the last six years.
The governor said, “This is the first time since 2012 when we started the free health mission that we are having a team of Nigerians in the Diaspora giving us support. This is very commendable.

“It is pertinent to inform you that our free health programmes, which berthed in 2012, have covered 1.5million people in the state, including the local communities. The coverage spanned various ailments from minor to major, as well as surgeries.
“The support Jesus House Mission is giving us today will go down in history of healthcare in Oyo State, just as the ABC has done in the area of preventing deaths through cervical cancer through collaboration with the state government.”

…2500 more set to benefit as UK-based health mission arrives the state.

The leader of the delegation from the Mission, Dr Agu Irukwu, said that the programme was billed to complement the efforts by the state government in combating health conditions.
He said that the JHM was inspired to support the government in acknowledgment of what he called its noteworthy efforts to bring healthcare to the doorstep of the ordinary citizen.
Apart from free medical examinations, distribution of drugs and free eye glasses, he said that the team came to the state with over 1000 birth kits for pregnant women.
Irukwu said, “We are here because it gives us an opportunity to support the great work the state government is doing in the health sector.

…2500 more set to benefit as UK-based health mission arrives the state.

“We must also commend another partner in the health sector which is ABC, among others, for taking care of our people especially on prostate cancer, which is the second common cause of death in the world today.
“We will be giving birth kits to over 1000 pregnant women within the five days of this programme like we did in other African countries and some states in Nigeria.”
Communication Team
Governor’s Office
Ibadan

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Aisha Buhari reiterates support for women and children

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The wife of the President, Mrs. Aisha Buhari has pledged to continue championing the cause of women and children in Nigeria.
She made the pledge during an event to mark the 3rd anniversary of the Future Assured Programme at the Banquet Hall of the State House, Saturday night.

Mrs. Buhari was happy that the programme, which is her pet project, has made such giant strides within a short time, and thanked partners that have made it possible.
Objectives
She spoke of the programme’s engagement in addressing the deteriorating health status of women, youth and children, working to reduce the rate of maternal, neonatal and child mortality.
Mrs Buhari quoted nutrition, lack of health education, lack of clean drinking water and poverty as the culprits; leading the programme to provide clean drinking water, nutrition supplements and health screening exercises against killer diseases like breast and cervical cancer, diabetes, kidney disease and hypertension in many parts of the country. She also spoke of interventions in deworming children.
Speaking on the programme’s involvement in empowerment, Mrs. Buhari said poverty had to be tackled through deliberate programmes to develop entrepreneurial skills and provide women and youth with working tools.
She mentioned rice mills, fish dryers, and groundnut extruders as well as grinding mills, sewing machines, rickshaws and spaghetti makers. Mrs. Buhari also spoke on the effort of the programme in the protection of human rights of women and children against abuse, violence and rape as well as supporting surgeries and advocacy on conditions like intersex and hydrocephalus.
Mrs. Buhari said the event recognizes that many Nigerians “are working to change lives like the programme is doing and need to be emulated.”
Some of those recognized and honoured include Deputy Commissioner of Police Abba Kyari, a police officer, for uncommon dedication to duty, Ruona Meyer, a Journalist for producing a documentary on Codeine, leading to its ban, Tobore Ovuorie, for her report on human trafficking. Corporate organizations like FlexiSAF Foundation were also honoured for innovation and social service.

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Winning Tuesday with Aesthetic doctor, Ifeoma Ejikeme at the Adonia Medical Clinic. : The Young Netpreneur for the Week.

New year, new skin regime
Advice and recommendations to help make your beauty resolutions a reality.If you struggle with your skin or just fancy a shakeup of your current beauty regime, then you’ve come to the right place.

Contact the wonderful aesthetic doctor, Ifeoma Ejikeme at the Adonia Medical Clinic using the below details :

Dr Ifeoma Ejikeme -Adonia Medical Clinic
General Medicine Consultant, Aesthetic Medicine Physician and Lecturer at Queen Mary’s University.London, England.

PROFESSIONAL: Dr Ejikeme doing an Obaji chemical peel

Jawline-Botox-Lips-Pigmentation-Dermal Filler-Skinfood etc

AdoniaMedicalClinic.com

Contact: 020 3858 0268

Twitter @DrEjikeme

Instagram@dr_ifeoma_ejikeme

 

 

 

 

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