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Thursday, January 9, 2025

Expanding Eye Care Services in Nigeria

THE recent passage of a Bill by the House of Representatives to amend the National Eye Centre Act, 2004, marks a significant stride in addressing a critical gap in Nigeria’s healthcare system. The proposed legislation, sponsored by the Deputy Speaker of the House, Rt. Hon. Benjamin Kalu and others, seeks to establish more specialist eye care centres across the six geopolitical zones of the country. This development is a commendable response to the growing need for accessible and qualitative eye care services in Nigeria, a nation grappling with an alarming rise in preventable and treatable eye conditions.

The bill, which has passed its second reading, holds great promise for improving the lives of millions of Nigerians. As highlighted by Kalu during the debate on the bill’s general principles, the proposed amendments aim to enhance access to specialist eye care services, particularly in rural areas where such facilities are scarce. Eye conditions such as cataracts, glaucoma, and refractive errors remain the leading causes of disability in the country, disproportionately affecting those in underserved communities. By expanding the reach of National Eye Centres to strategic locations across the nation, the bill could significantly reduce the prevalence of these conditions, ensuring that more Nigerians receive timely and effective treatment.

Nigeria’s healthcare sector has long been plagued by systemic challenges, including inadequate infrastructure, poor welfare for medical personnel, and the brain drain phenomenon that has seen many skilled practitioners seek opportunities abroad. These issues have left the remaining healthcare providers overstretched and the system unable to meet the needs of a rapidly growing population. Against this backdrop, the effort to establish more specialist eye care centres represents a bold and necessary step toward revitalising the sector.

The potential impact of this initiative goes beyond individual health outcomes. Good healthcare is a cornerstone of national development, and the benefits of a healthier population extend to economic growth and social stability. According to a report by the African Development Bank (AfDB), Nigeria loses an estimated $1 billion monthly to medical tourism, as citizens seek specialised care abroad due to the inadequacies of the domestic healthcare system. By investing in specialist eye care centres and other critical health infrastructure, the country could reduce this financial drain, retaining valuable resources that could be redirected toward other pressing developmental needs.

The establishment of additional National Eye Centres could also provide a much-needed boost to the healthcare workforce. With more facilities in operation, there will be opportunities to train and employ more eye care specialists, reducing the workload on existing practitioners and improving the quality of care delivered. Moreover, the expansion of eye care services could stimulate research and innovation in the field, positioning Nigeria as a leader in eye health within the African region.

However, the success of this initiative will depend on several factors. Adequate funding is paramount to ensure that the new centres are not only established but also equipped with state-of-the-art facilities and staffed by highly trained professionals. The government must also address the underlying issues driving the brain drain, such as poor remuneration and working conditions for healthcare workers. Additionally, a robust monitoring and evaluation framework will be essential to track the performance of the new centres and ensure they deliver on their mandate.

It is also worth noting that this initiative aligns with global efforts to combat preventable blindness and visual impairment. The World Health Organisation (WHO) has long emphasised the importance of integrating eye health into national health plans, recognising that vision plays a vital role in overall well-being and productivity. By taking proactive steps to address eye care needs, Nigeria is contributing to this global agenda while simultaneously improving the lives of its citizens.

As the legislative process continues, it is imperative that all stakeholders work together to ensure the successful implementation of this initiative. With sustained effort and commitment, Nigeria can take a significant step toward achieving a healthier and more equitable society.

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