Opinion
Raising The Bar, Accelerating Access To Safe Surgical Care, By Dr Juliette Tuakli

In order for “Health for All” to become a reality, access to safe, timely, and affordable surgery and ongoing surgical education must become a priority in Africa
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We celebrate World Health Day on April 7th, 2023, and I thought it is a good time to reflect on what “Health for All” means on the African continent.
In 2015 and 2017, the World Health Assembly (WHA) passed Resolution 68.15 (https://apo-opa.info/3ZJUuUf), and decision 70(22) (https://apo-opa.info/4387vtl) respectively. Resolutions which recognised surgical and anaesthesia care as essential for universal health coverage and required the director-general to report on the progress of its implementation.
While much progress has been made to document and elevate the status of surgical and anaesthesia care internationally, things have unfortunately not progressed equally on the African continent. Life-transforming surgery has a massive impact, not just on the patient, but on their caregivers, direct family, their community, and beyond.
It is now more important than ever to ask, how we can we improve this? How do we do this better?
Neglected surgery is a huge problem in Africa. In order for “Health for All” to become a reality, access to safe, timely, and affordable surgery and ongoing surgical education must become a priority in Africa. The truth is very few people on the continent have received the life-saving surgery they need. An ASOS study showed that surgical operations conducted in 25 countries were 20 times lower (https://apo-opa.info/3nN6GWU) than the crucial surgical volume required to meet a country’s essential surgical needs each year (defined as 5,000 operations per 100,000 people). African surgical patients are also twice as likely to die after planned surgery than the global average, with 94.1% of those deaths happening in the 24 hours after surgery.
Universal Health Coverage (UHC) means that all individuals and communities receive the health services they need without suffering financial hardship. It includes the full spectrum of essential, quality health services, from health promotion to prevention, treatment, rehabilitation, and palliative care.
To make that happen, a number of things need to be in place. For starters, we need strong political leadership to prioritise the acceleration of access to surgical, obstetric, and anaesthetic care across Africa — not just because it’s the right thing to do, but because from a socio-economic standpoint, Africa can’t afford not to. I do believe that COVID, like nothing else, showed us the economic costs of ill health of a population.
We also need greater education, not just of the surgical and medical practitioners, but of the African population at large, so that they understand their basic rights to care. By educating individuals and communities, they will be able to demand access to the health services they need, without falling into financial hardship, or potentially losing their lives because they did not know their ailment was surgically treatable, or how to access necessary surgical care.
One thing that does speak loudly to me right now is how we need to accelerate women’s access to obstetric and non-obstetric surgical care. When I’ve walked past the line of patients waiting to come on board Mercy Ships, I am always struck by how few women are coming there for their own care. The women I see are clearly in the role of carer, coming to support family members.
We have seen improvement on the continent in relation to obstetric outcomes as more women are able to access safe Caesarean sections, but there is a need to focus on a wider array of conditions and procedures that could have life-changing impacts on women. We also need to ensure that when funds are allocated for care, we make a point of ensuring that women’s care is specifically included, rather than them getting what is left over.
Understand, I’m not saying let’s forget about the men. I’m saying that safe surgical care is tremendously important, but it is tremendously important for both males and females. Everyone deserves a basic level of health care. It always amazes me how health is often not seen as a national developmental issue; but it is as important as security, economic development, nutrition, defence, because it underpins every one of those things.
“Health for All” means just that. It means every man, woman, and child should be able to access high-quality surgical care and post-operative care, regardless of age, race, ethnicity, gender, income, or religion.
We need to raise the bar of expectation across the African continent and hold each other accountable and we need to accelerate access to quality surgical, obstetric, and anesthetic care across Africa. It is possible to do, there are numerous governments who are implementing strategic plans not just talking about them, and there are incredible organizations like Mercy Ships, who are providing ongoing surgical education, as well as safe surgical care, free of charge to patients in the countries they serve that are making a significant impact on the African continent. But we need to do more.
When you talk about “Health for All” or “Surgical Care for All”, it needs to be more than a slogan; it needs to be meaningful and authentic and backed with intention and tangible actions.
Dr Tuakli works with Mercy Ships
Opinion
Saviour Enyiekere : Hitting The Ground Running At NASC

BY ABUBAKAR YUSUF
History was made again today at the National Assembly Service Commission NASC as the newly appointed as Executive Chairman,Dr Saviour Enyiekere and his Commissioners, was sworn in by President Bola Ahmed Tinubu at the Presidential villa to signify the beginning of another five years journey for the new management of the Commission.
Dr Enyiekere who was appointed along with his 12 commissioners representing the six geopolitical zones on 20th, February, 2025, assumed duty on 5th, May, 2025 few months after their appointment after been taking oath office.
He took the oath of office as the sixth National Assembly Service Commission Chairman since the inception of the Commission over four decades ago .
Until his appointment, Enyiekere, an environmental specialist, was the Deputy Chief of Staff to the Senate President and had played a leading and strategic roles in the last 19 months before his elevation.
Soon after he took the oath office along with his commissioners , he assumed duty and was hosted by management and staff of the National Assembly Service Commission NASC and by extension, the National Assembly management led by Barrister Kamoru Ogunlana, the new Clerk to the National Assembly CNA.
Fresh and determined to make a difference,While acknowledging the audience along with his new commissioners , he described today’s occasion as unique with the date falling to 5/5/2025, stating his determination to work with all stakeholders at the NASC and NASS.
He eulogised the outgone leadership of the commission and also paid a glowing trubutes to the deceased ones , acknowledging their unique performance and contributions to the development of the commission in all areas.
Enyiekere who solicited for the cooperation of the management, staff and staff union , promised to prioritize the welfare and well-being of staff of the commission.
The New Executive Chairman , National Assembly Service Commission NASC, Dr Saviour Enyiekere also promised to work harmoniously with the management of the commission , staff, and members of Parliamentary Staff Association PASAN.
Dr Saviour who attracted a conference hall that was filled to capacity bare his mind of carrying all and sundry along in his new administration .
Assertive, young and brilliant to manage the affairs of the commission, he promised to promote and sustain the legacies of management and previous leadership saying their contributions was indelible on the sands of time.
He used the opportunity to appreciate Nigeria’s President and reiterated his commitment along with his commissioners to promote and protect the Renewed Hope Agenda of the President Bola Ahmed Tinubu’s administration, with full support the leadership of the National Assembly under Senator Godswill Akpabio and Rt Honourable Tajudeen Abbas, lauding them for a job well-done and careful selection of the new Chairman and members/commissioners of the commission.
While describing the new responsibility as hectic and challenging, , saying with prayers , God will see us through.
Dr Saviour Enyiekere who promised to keep intact the good records of NASC management and the staff union , so as to ensure harmonious working relationship going forward.
During the handing over ceremony, The Secretary to the Commission, Mr
Lucky U. Ikharo, while presenting the handover documents to the new NASC boss, pledged the total commitment of the NASC Management towards the effective performance of the Commission’s assignment.
Speaking further during the handing and talking over ceremony at the Commission’s Conference Room, the new NASC boss told officials of the National Assembly Service that his leadership would emphasise the welfare of the workers of the Service, harmonious working relationship and productivity.
The new Chairman and his commissioners anxious to make a difference asked all stakeholders to extend their fellowship, admonition and possibly corrections.
Dr Saviour , a grassroot politician , with indepth experience in civil and political exposure, promised to make a difference without further delay .
The entire National Assembly Service Commission NASC bounced back to life after three months since the exit of the former Executive Chairman , National Assembly Service Commission NASC, Engr Ahmed Kadi Amshi FNSE.
Highlights of the occasion included group photograph, media interview and interactions with the management and staff of both the National Assembly Service Commission NASC, National Assembly leadership led by Barrister Kamoru Ogunlana along with the new commissioners.
With his assumption of duty and his promises, no doubt a new dawn has encapsulated and heralded the National Assembly Service Commission NASC and his leadership.
In a goodwill message, the Clerk to the National Assembly, Barrister Kamoru Ogunlana, assured the new Commission of the full co-operation of the National Assembly Management towards achieving success. He, however, pleaded with the Commission to carry the National Assembly Management along on key decision-making.
The Honourable Commissioners that reported to duty alongside the Chairman include: Mr. Hanmation Mark Tersoo and Mr. Salisu Umar Agboola-Balogun (North-Central); Alhaji Lawan Maina Mahmud and Aminu Ibrahim Malle (North-East); Senator Suleiman Othman Hunkuyi and Hon Yusuf A. Tabuka (North-West), Chief Festus Ifesinachi Odii (South-East), Mary Samuel Ekpenyong and Mr Patrick Giwa (South-South), Mrs Taiwo Olukemi Oluga and Ipesa-Balogun, Afeez (South-West, with
The Honourable Commissioners that reported to duty alongside the Chairman include: Mr. Hanmation Mark Tersoo and Mr. Salisu Umar Agboola-Balogun (North-Central); Alhaji Lawan Maina Mahmud and Aminu Ibrahim Malle (North-East); Senator Suleiman Othman Hunkuyi and Hon Yusuf A. Tabuka (North-West), Chief Festus Ifesinachi Odii (South-East), Mary Samuel Ekpenyong and Mr Patrick Giwa (South-South), Mrs Taiwo Olukemi Oluga and Ipesa-Balogun, Afeez (South-West), with Festus Ifesinachi Odii not yet resume from the South-East .
Written BY ABUBAKAR YUSUF on yus.abubakar3@gmail.com.
Opinion
Life At Sea: Mental Health And Wellbeing – The Untold Struggles Of Seafarers

By Capt. Caleb Danladi Bako
The global shipping industry is the lifeblood of international trade, with nearly 90% of goods transported by sea. Behind this vast network of commerce are the seafarers professionals whose dedication keeps the world’s economy afloat. Yet, while the focus often falls on operational efficiency, safety, and environmental concerns, an equally critical aspect remains largely in the shadows: the mental health and wellbeing of those who spend months away from home, isolated and often battling invisible struggles.
Having worked both at sea and now within the maritime industry ashore, we have witnessed firsthand the emotional challenges faced by seafarers. Life at sea is often romanticized, but the reality is far more complex. Prolonged isolation, communication barriers, high-pressure environments, and the unpredictability of life at sea contribute to a unique mental health crisis that has, for too long, gone unspoken.
A seafarer’s life revolves around routines, watches, and operations that leave little room for personal downtime. The absence of family support systems limited recreational facilities, and minimal mental health resources onboard amplify feelings of loneliness and helplessness. Recent studies, including those by the Mission to Seafarers and the International Seafarers’ Welfare and Assistance Network (ISWAN), reveal alarming rates of depression, anxiety, and even suicidal ideation among crew members. These findings highlight a pressing need for the industry to prioritize mental health with the same seriousness as physical safety.
The COVID-19 pandemic further exposed and intensified these struggles. Hundreds of thousands of seafarers were stranded aboard ships, unable to disembark for months beyond their contracts. Crew change crises turned ships into floating prisons, exacerbating feelings of abandonment and mental exhaustion.
Though some shipping companies have since introduced mental health initiatives such as access to tele-counselling and mental wellness apps, these measures are still the exception rather than the norm.
Mental health challenges at sea are not merely personal struggles; they can have direct safety implications. Fatigue, anxiety, and depression diminish focus and decision-making ability, increasing the risk of accidents. Thus, protecting seafarers’ wellbeing is not only a moral obligation but a safety imperative for the entire industry.
As industry experts and former seafarers, we believe urgent cultural change is required. Shipping companies must move beyond token programs to embed mental health care into the fabric of maritime operations.
Practical steps include mandatory mental health training, confidential support systems, improved internet connectivity for family contact, regular shore leave, and destigmatization of seeking help.
It is time to bring the untold struggles of seafarers into the light. By acknowledging their mental health needs and committing resources to support them, we honor not only their critical role in global trade but their fundamental humanity.
Capt. Caleb Danladi Bako
Maritime expert and Academic Researcher
E-mail: Caleb.Danladi@plymouth.ac.uk, dancb2k@yahoo.com
Phone: +2348064218253
Opinion
FRC; Deploying Controls, Regulations to Achieve 2020-2030 SDGs

BY ABUBAKAR YUSUF
In line with the decade of action , realizing SDGs 2020-2030 agenda, the mission and vision of government agencies, parastatals and departments must be in tandem with the present realities.
Therefore, efforts by the Financial Reporting Council, FRC to implement the already reviewed annual fee due for over two years cannot be over emphasized.
The challenges posed and identified by Manufacturers Association of Nigeria (MAN), as the umbrella body of companies operating in Nigeria may be normal and usual resistance to positive changes, posed by such bodies in the development, improvement and payment of dues across board.
But , irrespective of that , FRC under the leadership of Dr Rabiu Onaolapo Olowo has developed a new template, innovations and initiatives to drive the new council in line with not only the economic indices and realities in the country, but global requirements.
This is in accordance with the zeal to generate more revenues, increased revenue generation for remittances into the federation account to enable government meet up it’s obligations, through internal mechanism and revenue drive .
With the global standards and realities, FRC cannot be operating under the cocoon of archaic policies and programs, leaving behind the modern and modest standards of International Financial Reporting Standards (IFRS), among others requirements.
Penultimate, the experience of the council towards payment of dues and remittances had been lackadaisical and laced with various resistances , litigations and sharp practices, particularly before the new fee reviewed under the guise of many anomalies, which MAN had overlooked .
Therefore, as the administrative head charged with controls and regulations, The Financial Reporting Council, FRC cannot be seen to be underpinned between new evolution and old order , as a government agency under an act amended , the singular decisions to review its activities is encumbered as an independent entity.
Experience have showed that some publicly traded companies, listed on the Nigerian Stock Exchange (NSE), continue to underreport the claims and litigation section of their annual reports, This is despite the Financial Reporting Council of Nigeria (FRC)’s pledge to curb this before now.
The companies, published their 2023 audited financial reports at various times in 2024. However, each report contained figures lower than what was earlier revealed in a 2023 report.
According to the reports, the companies claimed cases against them in court amounted to huge amount .
“There are certain lawsuits pending against the companies in various courts of law. The total contingent liabilities in respect of pending litigations as at 31 December 2023 is ₦7.42 billion.”
“Some companies had the highest reported figure for claims and litigation of some companies in 2023. They stated that the cases against them amounted to N1.008 trillion claims. However, by June 30, 2024, the figure had become zero.”
This is at variance with FRC position, were many companies were underreporting their claims.
Since litigations may not stand the taste of time as adopted by previous leadership, the best solution is to effect an administrative decision beyond stagnating the activities of the new council and effect a new lease of life into the organization, through the enactment of the new regulations, reviews and controls.
“Not disclosing these claims in their annual reports for over a decade violates the International Financial Reporting Standards (IFRS), hence the new leadership envisaged in its new position and decision.”
“Despite the FRC’s vocal commitment to addressing inaccurate financial reporting, it was revealed that partial compliance two years later.”
“The International Financial Reporting Standards (IFRS) are a set of accounting standards introduced to govern how particular types of transactions and events should be reported in financial statements. They were developed by the International Accounting Standards Board (IASB).”
“This IASB has a set of accounting standards that guide certain aspects of financial reporting.”
“IAS 37 is a standard for accounting for and disclosing provisions, contingent liabilities and assets.”
It describes contingent liabilities as “possible obligations whose existence will be confirmed by uncertain future events that are not wholly within the control of the entity”.
“An example is litigation against the entity when it is uncertain whether the entity has committed an act of wrongdoing and when it is not probable that settlement will be needed,” it states.
“A contingent liability is not recognised in the statement of financial position. However, unless the possibility of an outflow of economic resources is remote (distant), a contingent liability is disclosed in the notes.”
“Going by this provision, all defendants in the suit had contingent liabilities of at least N1.2 trillion each.”
“It is important to highlight that companies in business either have assets or liabilities. Assets add to the financial health of the company while liabilities are losses. ‘Contingent’ is a term that refers to something that is subject to probability or chance, and just as there are contingent liabilities, there are contingent assets.”
“Some companies were taking advantage of an exploitable gap in the IAS37 to operate .”
Interestingly, Council generally observed an exploitable gap in disclosure requirements as per IAS 37: ”
Provisions, Contingent Liabilities and Contingent Assets, especially as it relates to Contingent Liabilities. Paragraph 92 of IAS 37 which states that ‘In extremely rare cases, disclosures of some or all of the information required by paragraph 84-89 can be expected to prejudice seriously the position of the entity in a dispute with other parties on the subject matter of the provision, contingent liability or contingent asset.”
” In such cases, an entity need not disclose the information, but shall disclose the general nature of the dispute, together with the fact that, and reason why, the information has not been disclosed’ is instructive in this regard. This implies that entities are not compelled to disclose number of claims and financial implications thereon as such information has the potential to prejudice their position in disputes with other parties.”
“In the course of the reports, some companies declared huge amount of N11.3 trillion in contingent liabilities in its 2023 annual report; the highest it had ever declared since 2014.”
However , to achieve the global SDGs 2020-2030 agenda with Nigeria playing a leading position, the ongoing sharp practices, inactions, anti government and anti council policies by companies in the area of declaration of transparent and accountable financial reports , that is in tandem with the global standards and practices must be adhered to, in line with the intention of the new management and leadership under Dr Rabiu Onaolapo Olowo as the Executive Secretary, Chief Executive Officer ES CEO of Financial Reporting Council, FRC.
Written BY ABUBAKAR YUSUF on yus.abubakar3@gmail.com.