Jul 2, 2025 | News
On Saturday, June 21, 2025, the Rays of Hope Support Initiative (ROHSI) successfully conducted a free medical outreach at Otun Abese Community, Ibadan, Oyo State. Approximately 200 residents, comprising men, women, children, and the elderly, accessed essential healthcare services.
The outreach promoted health awareness, offered medical screenings, provided free medication, and educated the community on healthy living practices. The ROHSI approach focused on proactive health management and accessible care.
At the medical outreach, we provided health education where vital information on maintaining good health, regular medical screenings, and adopting healthy lifestyles were discussed with the participants
Also, there was medical screening to identify various health conditions early, especially on hypertension and diabetes, the two silent killers
Participants also received free medications courtesy of our sponsors and partners. On that day also some individuals that requires further medical attention were referred to appropriate healthcare facilities
Names of individuals with critical medical conditions were listed out for further support and follow-up through our WhatsApp community, where we shared daily health tips and other health opportunities
We extend our deepest gratitude to our sponsors: Codix Pharma Nigeria, Kemisola Bolarinwa through Next Wear Technologies, Africa Social Enterprise Workshop (ASEW) for supporting our social enterprise scheme and other anonymous contributors.
To our host community, Otun Abese Community, for their warmth and hospitality, and our Board of Trustees, Management Team, Staff, and Volunteers for their dedication and hard work. To our family, friends, and ROHSI Community, we say thank you all for your support and generosity. We enjoy always
Major highlights of the outreach:
- A majority of residents are unaware of their health status, highlighting a critical need for increased health awareness campaigns.
- Even those aware of their conditions cannot access necessary care due to the escalating cost of medical services.
- There is an alarming surge in non-communicable diseases (NCDs), particularly hypertension and diabetes. This trend demands urgent attention from the government and other stakeholders.
- The preventable nature of many NCDs, which are tragically claiming the lives of our working and productive adults, is a significant concern that requires immediate and concerted efforts.
The surge in preventable #NCDs demands urgent intervention from government and stakeholders. We urge:
- The implementation of practical healthcare policies (beyond paperwork).
- Introduction of affordable indigenous health insurance schemes for underserved community
- More partnerships from governments, policymakers and organisations of like minds to expand medical outreach programmes.
We reiterate our profound gratitude to all our sponsors, partners, board, and team members for making this outreach a success. We remain committed to bridging healthcare gaps and working towards accessible quality healthcare for all.
Thank you for your unwavering support.
ROHSI Management Team.
May 17, 2025 | News
Every year on May 17, the global health community observes World Hypertension Day to raise awareness about high blood pressure, a stealthy yet deadly condition affecting over one billion people worldwide. The theme for this year (2025), “Measure Your Blood Pressure Accurately, Control It, Live Longer!”, underscores the urgent need for early detection, proper management, and sustained control of hypertension to prevent life-threatening complications.
In low-income countries like Nigeria, hypertension is not just a health issue; it’s a growing epidemic. Often called the “silent killer”, it frequently goes undetected due to a lack of symptoms until severe damage occurs, leading to #stroke, #heartfailure, #kidneydisease, and premature death. Limited healthcare access, low awareness, high treatment costs, and shortages of medical personnel worsen the crisis, disproportionately affecting vulnerable populations who lack resources for preventive care.
Nigeria’s struggle with #hypertension reflects broader challenges in low-resource settings:
- Many #Nigerians remain unaware of their condition until complications arise.
- High medication costs and weak healthcare infrastructure hinder effective management.
- Unhealthy diets (high in salt), physical inactivity, tobacco use, and stress contribute to rising cases.
Without urgent intervention, #hypertension will continue to strain already fragile health systems, increasing preventable deaths from cardiovascular diseases.
Like other #NGOs working within the health space, #ROHSI3 is making a tangible difference by combating hypertension at the grassroots through:
Community Screenings! Providing free #bloodpressure checks to detect undiagnosed cases.
Awareness Campaigns! Educating communities on risks, prevention, and management.
* Health Education! Promoting low-salt diets, regular exercise, stress management, and smoking/alcohol cessation.
Affordable Medication Access! Ensuring people with hypertension can obtain low-cost antihypertensive drugs.
Continuity of Care! Collaborating with stakeholders to support long-term management for patients.
Our work demonstrates how local interventions save lives where formal healthcare systems fall short.
Today we are saying, together, we can defeat hypertension! To turn the tide against this silent killer, we need collective effort:
To Government & Policymaker, please:
- We are saying, Integrate hypertension screening into primary healthcare systems.
- Subsidise medications and enforce salt reduction policies (e.g., food labelling regulations).
- Launch nationwide public health campaigns on prevention.
To pharmaceutical companies, please:
- Expand access to low-cost generic medications.
- Partner with NGOs such as ours and governments to improve drug availability in underserved areas.
To International Health Bodies (#WHO, #WorldHypertensionLeague, #NCDAlliance, #WorldHeartFederation, etc.):
- Support training programmes for healthcare workers.
- Fund research and tailored interventions for hypertension in low-income countries.
To Our People: What You Can Do:
* Get screened regularly! Early detection saves lives.
* Adopt a Heart-Healthy Lifestyle! Reduce salt, exercise, quit smoking/alcohol, and manage stress.
* Spread Awareness! Encourage family and friends to monitor their blood pressure.
We are saying together we can put a stop to the surge of hypertension if detected early and controlled effectively. This World Hypertension Day, let’s commit to:
- Measuring our blood pressure accurately
- Controlling it through lifestyle changes and medication
- Living longer by adopting healthier habits
Through community efforts, government action, and global support, we can defeat this silent killer in Nigeria and beyond.
Courtesy: Rays Of Hope Support Initiative (ROHSI) Management Team
#LeadOnNCDs #who_nigeria #codixpharma #ActOnNCDs #rohsicares #Rohsi3 #NPHCDA #NCDs #ibadan #WorldHypertensionDay
Dec 21, 2024 | News
Rays of Hope Support Initiative: Path to Healthier Lives in Ibadan
Rays of Hope Support Initiative: Path to Healthier Lives in Ibadan
Nigeria’s Silent Health Crisis: Hypertension and Diabetes
More than 20 million Nigerians are living and battling with hypertension silently, while more than 11 million live with diabetes. More than half of those affected by these silent killers are unaware of their health status. Even among those who are aware, many are not taking action. Those trying to seek care are hindered by economic challenges and unable to afford or access health care. As a result, they resign to their fate, waiting for the inevitable.
Nearly 30% of deaths in Nigeria, either at the hospital or at home, stem from NCDs. The nation’s potential brightest contributors are lost to these illnesses. The most vulnerable are hit hardest, as a lack of resources cuts their dreams short.
Rays of Hope Support Initiative
Rays of Hope Support Initiative (ROHSI) has been operational since 2017. Located in Ibadan, Oyo State, Nigeria. ROHSI is dedicated to combating the rising burden of NCDs in Ibadan and Nigeria, where it has been implementing innovative solutions to address these pressing issues. As an organization working within the NCD health space, ROHSI has focused on empowering vulnerable populations, such as older people, women and children, who are disproportionately affected by NCDs. This involves providing targeted interventions, addressing social determinants of health and ensuring equitable access to health care services.
The ROHSI team, since inception, has been working closely with local health care providers through collaboration and partnerships to ensure that individuals with NCDs, especially hypertension and diabetes, receive appropriate treatment and care. This includes providing access to essential medications and connecting patients with support services. Through its community-based health education initiative, the organization conducts regular health education programs to raise awareness about NCDs, especially hypertension and diabetes, their risk factors and preventive measures.
These sessions are tailored to the specific needs of the community, ensuring that information is accessible and understandable. Furthermore, the ROHSI early detection and screening program allows for timely intervention, reducing the likelihood of severe complications, therefore saving many lives from avoidable deaths.
Impact of Rays of Hope Support Initiative
ROHSI’s efforts have yielded significant results in improving the health and well-being of the community in Ibadan. It has educated more than 10,000 citizens on disease prevention with an emphasis on hypertension and diabetes. The organization has made an impact across three states, reaching more than 5,000 direct beneficiaries through free screenings and medication.
The nonprofit currently has a thriving online community with access to daily, up-to-date health tips. More than 1,500 members are part of its combined Facebook group, with thousands more across other social media platforms, where they access up-to-date information on health-related issues.
Many of ROHSI’s community members have reported a significant improvement in their quality of life as a result of the team interventions, including reduced symptoms, increased energy levels and greater independence.
Final Note
ROHSI has strengthened its community members’ resilience by empowering individuals to take control of their health and well-being. It has done so through daily health tips and free access to its medical team for guidance on health and wellness issues. The organization has advocated for favourable health policy changes from the Nigerian government and policymakers to address the root causes of NCDs and improve access to health care services in Nigeria. It does this by fostering partnerships and collaborations with like-minded local and international organizations.
Coutersy: The Borgen Project & ROHSI
May 16, 2023 | News
World Hypertension Day is observed annually on May 17th to raise awareness about the importance of hypertension prevention, detection, and control. It serves as a global platform to increase awareness about hypertension and its associated risks. Hypertension, or high blood pressure, affects millions of individuals worldwide and is a major contributor to heart disease, stroke, and other cardiovascular complications. Today, it aims to empower individuals to take charge of their cardiovascular health, educate our communities about the importance of blood pressure monitoring, and promote preventive measures to reduce the burden of hypertension-related diseases.
As part of the 2023 campaign, “Measure Your Blood Pressure Accurately, Control It, and Live Longer,” This theme emphasizes the significance of accurate blood pressure measurement, effective control, and the potential for a longer and healthier life.
High blood pressure, or hypertension, is a common health condition that affects millions of people around the world. It is often referred to as the “silent killer” because it typically does not have any noticeable symptoms. However, if left untreated, it can lead to serious health complications such as heart disease, stroke, kidney failure, and other organ damage.
Maintaining optimal blood pressure is crucial for our overall well-being and longevity. ‘Blood pressure is a measure of the force exerted by the blood against the walls of the arteries as the heart pumps it throughout the body’. Accurate measurement, regular monitoring, and effective control of blood pressure play a vital role in preventing serious health complications. In this article, we will explore the importance of accurately measuring blood pressure, controlling it, and the health benefits associated with maintaining healthy blood pressure levels.
To accurately measure your blood pressure, it is recommended that you use a reliable blood pressure monitor, such as a digital blood pressure monitor. It is also important to measure your blood pressure under the right conditions. You should be in a quiet and relaxed environment, avoid smoking or drinking coffee or alcohol, and sit with your feet flat on the floor and your arm at heart level.
Measuring your blood pressure accurately is the first step toward treating hypertension. Blood pressure is measured in two numbers: the systolic pressure (top number) and the diastolic pressure (bottom number), measured in millimeters of mercury (mmHg). Normal blood pressure is generally considered to be around 120/80 mmHg, and high blood pressure is usually defined as a reading of 130/80 mmHg or higher.
Controlling your blood pressure is the next step toward maintaining good health. Lifestyle changes such as eating a healthy diet, getting regular exercise, maintaining a healthy weight, reducing stress, and quitting smoking can help lower your blood pressure. If these lifestyle changes are not enough to control your blood pressure, your doctor may prescribe medication to help bring it down. It is important to take your medication as prescribed and to follow up with your doctor regularly to ensure that your blood pressure is under control.
Living longer is one of the many health benefits of controlling your blood pressure. Lowering your blood pressure can help reduce your risk of developing heart disease, stroke, and kidney disease, which are some of the leading causes of death worldwide. Additionally, maintaining a healthy blood pressure can help improve your overall quality of life. You may feel more energetic, have better sleep, and be able to perform your daily activities with more ease.
Friends remembered that maintaining optimal blood pressure levels is essential to preventing the onset and progression of various health conditions. Uncontrolled hypertension can lead to serious complications, including:
High blood pressure, when unmanaged, puts strain on the heart and arteries, increasing the risk of heart disease, heart attack, stroke, and other cardiovascular disorders.
Elevated blood pressure can damage one’s kidneys over time, leading to chronic kidney disease or kidney failure. So make sure your blood pressure is within range.
Hypertension can affect the blood vessels in the eyes, potentially causing vision impairment or even blindness. It can lead to eye problems.
Research suggests that untreated hypertension may contribute to cognitive decline and an increased risk of dementia and Alzheimer’s disease.
High blood pressure during pregnancy, known as gestational hypertension, can have adverse effects on both the mother and the baby. So make your health a priority.
Health Benefits of Maintaining Healthy Blood Pressure Levels:
It helps reduce one’s chances of developing cardiovascular-related disease. By keeping your blood pressure within the recommended range, we significantly lower our risk of developing heart disease, heart attack, and stroke, among other complications.
When we maintain optimal blood pressure, it will help our kidneys function properly, prevent avoidable health complications, and reduce the risk of developing cases such as chronic kidney disease.
Healthy blood pressure levels contribute to better brain health and reduce the risk of cognitive decline and neurodegenerative diseases. That is, maintaining normal blood pressure enhances brain health.
It helps improve eye health. When you have your blood pressure under control, it helps protect the delicate blood vessels in the eyes, reducing the risk of vision problems. So you can see why you must measure your blood pressure, among others.
For our women in the house, maintaining normal blood pressure within a safe range during pregnancy ensures the well-being of both the mother and the developing baby. So, get registered for antenatal care and make sure you don’t miss your antenatal days.
Key Messages and Recommendations:
Get Educated! Learn about hypertension, its risk factors, and the importance of regular blood pressure monitoring. Understand the proper techniques for accurate measurement.
Measure your blood pressure regularly by using a reliable blood pressure monitor. Follow the correct measurement techniques, such as sitting quietly for a few minutes before taking the measurement.
Adopt and maintain a healthy lifestyle. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit sodium intake, avoid excessive alcohol consumption, quit smoking, and engage in regular physical activity.
Learn to manage stress. Practice stress-management techniques such as meditation, deep breathing exercises, and engaging in hobbies to reduce stress levels. This may go a long way toward maintaining your blood pressure.
The key is medication compliance. If you are prescribed blood pressure medication, take it as directed by your doctor or healthcare provider. Adhere to the recommended dosage and attend follow-up appointments to monitor the effectiveness of the treatment.
Seek medical advice! Consult with your doctor or healthcare provider for guidance on blood pressure management, individualized treatment plans, and lifestyle modifications.
By managing our blood pressure effectively and following our doctor’s recommendations, we can significantly reduce the risk of serious health complications such as cardiovascular disease, kidney disease, and cognitive decline. Prioritizing our blood pressure management through lifestyle modifications and, if necessary, medical intervention can contribute to a longer, healthier life.
At the Rays of Hope Support Initiative (ROHSI), we are saying that, for accurate blood pressure, we must not just measure it but make sure that we put the blood pressure in a healthy range, seek medical advice, adhere to our medication, and follow any health tips given by our healthcare provider. Remember that regular monitoring of our blood pressure is crucial to our long-term health and well-being.
Courtesy: Rays of Hope Support Initiative (ROHSI) Board and Management Team
Dec 20, 2021 | News
HE ALMOST DIED FROM HYPERTENSION; NOW HE HELPS OTHERS LIVE FREE OF THE DISEASE
Benjamin Olorunfemi had strong headaches and felt body weakness amid racing heartbeats. When self-medication did not help, his wife persuaded him to see a doctor. What followed was slightly scary.
“I went as advised, and the doctor that attended to me raised an eyebrow about my blood pressure numbers [198/125 mmHg, way above the healthy average of 120/80 mmHg),” 49-year-old Olorunfemi said.
His condition was hypertension stage 3, the doctor explained further. The doctor prescribed some drugs for Olorunfemi, which he took and, fortunately, became better.
But during his recovery process, Olorunfemi wanted to know more about hypertension and how to control it, so he started reading online articles on the subject. This led him to discover that millions of Nigerians live with hypertension and other non-communicable diseases without knowing it.
His finding was consistent with a World Health Organisation report that says “most people with hypertension are unaware of the problem because it may have no warning signs or symptoms.”
Available data further confirms that at least 31% of Nigerians (66 million) are suffering from hypertension. And most of the 1.28 billion adults aged 30-79 who live with the disease globally are from low and middle-income countries like Nigeria.
Olorunfemi takes action to help others
Inspired by his discovery, in 2017, Olorunfemi started a nonprofit organisation, Rays of Hope Support Initiative or ROHSI, to create awareness about hypertension and diabetes (another deadly disease affecting 5.77% of Nigerians) among rural residents of Oyo State in Southwest Nigeria, where he lives.
Olorunfemi started with a post on Facebook explaining what he planned to do and asking for volunteers. He got several responses, including from a pharmacist and three medical doctors who are now part of his volunteer pool of 19.
Operating from Plot 5. Block C, Oke Bola(CICS) Layout,Ondo Road, Otun Abese in Ibadan, Oyo State, ROHSI also provides free screening, medical advice, and free medications to patients with hypertension and diabetes via biannual community outreaches.
Once every six months, the group holds a health outreach in a rural community in either Oyo or Lagos State. The outreach is done in consultation and collaboration with community leaders, targeting young adults and the elderly.
Months before the outreach, the group runs physical and social media fundraising campaigns to raise money to buy drugs and handle other logistics during the one-day campaign.
On the day of the outreach, people come to a designated location. Medical experts in ROHSI’s team brief the attendees about hypertension and diabetes mellitus, the risk factors, dangers, symptoms, preventive measures., and what to do if they have symptoms of the diseases.
After that, each participant can proceed to see a doctor for testing. Those with positive results are directed to see another doctor who counsels them privately and sends a list of prescribed drugs to the pharmacist, who hands the medications to the patient for free.
“We test for their blood pressure, blood sugar level, as well as their weight. We offer medical education and treat them where necessary,” said Charles Fajonyomi, a volunteer medical doctor with the organisation.
“Our mandate is to reach out and impact the lives of Nigerians in our rural communities who are not aware of the life-threatening effects of hypertension and diabetes and the preventive methods,” adds Olorunfemi, who studied Banking and Finance but works as a security expert for a private security firm in Oyo.
Olorunfemi said the organisation had its first outreach in August 2017 at Irewumi community in Oyo State. Since then, it has reached about 10,000 people with information about hypertension and diabetes mellitus, including nearly 3000 people (across six communities in Lagos and Oyo states) it has screened and provided with health advice and free medications.
“At first, we thought it was a joke, but they treated us free of charge when they came to our community,” said 50-year-old Imam Ibraheem’, who benefitted during that first outreach in Irewumi.
For 59-year-old Taiwo Odukoya, a November 2019 beneficiary from Otun Abese community in Ido Local Government Area of Oyo State, “They checked my blood pressure, and it was high. They also told me my sugar level was high. “[Then] I was given drugs, and they followed up on me from time to time to be sure I was sticking to my medication and recovering well.”
As a means of follow-up on its beneficiaries, the organisation created a WhatsApp group where beneficiaries can always ask questions about their health and get advice from its volunteer doctors in the group. The group now has 256 members.
“We ask questions and talk to doctors [on the group] when we need to,” said Ibraheem’.
Fajonyomi, the doctor, said ROHSI is trying to change rural dwellers’ attitudes toward their health. And that is because “people’s attitude to their health is poor in our part of the world. Once people are not very sick, they don’t care about going for medical check-ups.”
According to Olorunfemi, the nonprofit conducts just two outreaches per year because, for now, its funding and funding sources are limited, mostly from family, friends, and colleagues and whatever they get from their social media calls for support per outreach.
He said none of the group’s regular calls for support from pharmaceutical companies, local authorities and donor organisations had yielded any significant fruits.
“Getting support isn’t always easy. Most times, we write to pharmaceutical companies seeking drugs, but that support never comes, and we have to purchase the drugs ourselves,” he said.
He said in the future, ROHSI hopes to build a medical centre in Oyo State, where people could have access to healthcare when they need it for free.
“Our primary healthcare system is not there yet, and it is supposed to be the first point of call for the majority of these preventable ailments in our communities, but that’s not the case. Also, the cost of accessing treatment and medication is so high that it discourages a lot of people from visiting health facilities when they have symptoms of these ailments,” Olorunfemi said.
First Published By Prime Progress https://primeprogressng.com/posts/he-almost-died-from-hypertension-now-he-helps-others-live-free-of-the-disease-55
Aug 22, 2021 | News
DIABETES NEXT EPIDEMIC IN NIGERIA
By Sola Ogundipe
The growing number of people living with diabetes mellitus in Nigeria is worrisome and an explosion in the number of diabetic patients may be imminent if urgent measures are not taken to address the trend.
The World Health Organisation, WHO, estimates for Nigeria, show that 4 million Nigerians are diabetic, and nearly 4 – 11 per cent of the population lives with diabetes.
Experts say it is getting commoner worldwide with the number of affected people rising yearly with projections showing that Africa and Nigeria in particular, is likely to experience the highest increase in the near future. The International Diabetes Federation estimates that by 2040, the global prevalence of diabetes is likely to affect 10 per cent of humanity.
Currently, diabetes care is poorly coordinated, especially at the primary and secondary public health care centres.
Many Nigerians are living with undetected diabetes and even for those that have been diagnosed, just a fraction is receiving proper care and treatment.
A recent study showed that pooled prevalence of diabetes mellitus in the six geopolitical zones were 3.0 percent in the northwest, 5.9 per cent in the northeast, 3.8 percent in the north-central zone, 5.5 percent in the southwest, 4.6 percent, in the south-east, and 9.8 percent in south-south zone.
Findings by Good Health Weekly reveal diabetes screening programmes are few across the States and have limited impact.
The steady increase of diabetic foot, a major complication of diabetes mellitus is equally worrisome.
Many people living with diabetes lack basic knowledge and information about diabetes foot care even as reliable support for diabetic foot care programmes are largely unavailable, leading to poor outcomes for the patient.
Nigeria is currently the most affected country in Africa. It is estimated that over four million Nigerians are living with either the type 1 or type 2 diabetes and findings show that more than 50 per cent the persons with diabetes in the country are unaware that they have the disease.
More than 1 in 3 people with diabetes will develop” a complication of the eyes known as diabetic retinopathy. There is also high prevalence of complications such as diabetic foot among diabetics who risk suffering nerve damage and end up losing their limbs from amputation.
Findings by Good Health Weekly show that patients with diabetes are 25 times more likely to have amputations than people without diabetes.
The amputations unfortunately often do not only result in the loss of the limb but in the loss of life of the patient. Worse still, treatment for diabetic foot complications is the most expensive part of diabetes care even though there is no guarantee that the leg or the life of the patient will be saved.
“Diabetic foot is one of the commonest reasons for prolonged hospitalization in tertiary hospitals. The patient suffers nerve damage to the affected limb even as the tissues develop ulcers, infection sets in and it begins to decay (gangrene),
With the majority of patients financing their medical bills out of pocket, several diabetic patients fail to adhere to their medications and tests. Only 1 in 5 of the patients perform self–blood glucose monitoring among other tests. Several patients even resort to traditional treatment and complementary alternative medicine options.
Today, many Nigerians have become victims of foot amputation, stroke, blindness, kidney failure, heart attack, among other serious conditions, all linked to diabetes.
Already, the rate of amputation among Nigerians living with diabetes is as high as 53.2 per cent of the number of people with foot ulcers in some centres across the country, making diabetic foot the most common cause of non-traumatic amputation in the lower extremities in the country.
“Diabetes places an extra burden on the individuals and families affected, especially for the majority of patients unable to access quality health care,” said Prof Femi Fasanmade. an endocrinologist at the Lagos University Teaching Hospital, LUTH.
Many patients report late to the health care centre when they have developed advanced disease making treatment and care difficult.
A Consultant Endocrinologist and diabetes expert, Dr Afoke Isiavwe, who is the Medical Director of Rainbow Specialist Medical Centre, Lagos, said diabetes is not getting the attention it deserves even as she decried the current situation whereby a lot of Nigerians are living with undetected diabetes.
“Diabetes is not getting the attention it deserves. There is a bigger problem coming in the near future and if we don’t get the right attention now, people will continue to die.
“We need to address the situation urgently. It is affecting the poor, the rich, the young and the old. What we need to do is set up centres that offer free screening and care for diabetes,” she argued.
An examination of the diabetes burden within sub-Sahara Africa showed that the region has the highest potential by an estimated 156 per cent increase by 2045.
“By 2040, 642 million will be diabetic. Diabetes kills more than HIV, TB and malaria combined and this is made worse by the fact that there are no dedicated diabetes centre in Nigeria. Worse still, mortality rate following diabetic foot amputation is higher than for breast cancer.
Among the main reasons for the expected rise are ageing population, increasing urbanization, (sedentary lifestyle) reducing physical activity and increasing obesity.
Noting that it is long overdue for all the States of the Federation to have dedicated diabetes Centres, Isiavwe said there are currently 16 million persons affected by diabetes, but the figure will rise in coming years.
“There is a very urgent need for all hands and voices involved in the diabetes circle – persons living with diabetes, advocacy groups and associations, diabetes care providers, Diabetes Health Care Trainers, policymakers, etc., to be united to birth the right atmosphere for both primary and secondary prevention of diabetes mellitus in Nigeria.
In her research on diabetes foot in Nigeria, Prof Anthonia Ogbera, an Endocrinologist and Consultant at the Lagos State University Teaching Hospital documented the financial burden of diabetic foot problem in the country.
The research published in 2005 showed that the direct costs of treating the diabetic foot ulcer were about 1000 Euros (N400,000), whereas the average monthly wage was about 46 Euros (N18,000).
Findings reveal that today, even the proposed average monthly wage of N30,000 would be inadequate.
“The accompanying social, emotional, and psychological implications of diabetes foot ulcers and amputations are severe, with high mortality rates. A foot care programme including education about foot care should be directed at patients and also at health-care providers.
“All health professionals should have the knowledge and skills to help individuals and families manage diabetes. It is important that every clinic is set up to provide appropriate care and to know when to refer patients to the Endocrinologist/diabetes specialist.”
Isaiavwe said training in Podiatry, a branch of medicine dedicated to the study, diagnosis, medical and surgical treatment of disorders of the foot, ankle, and lower extremities, should be part of the package.
Coping tips
Diagnosis
Early diagnosis can be accomplished through relatively inexpensive testing of blood sugar Treatment
Treatment involves diet and physical activity along with lowering blood glucose and the levels of other known risk factors that damage blood vessels.
Maintenance of blood glucose control, particularly for people with type 1 diabetes who require insulin. People with type 2 diabetes can be treated with oral medication but may also require insulin.
Maintain blood pressure control and foot care.
Prevention
Adopt simple lifestyle measures such as maintaining healthy body weight, being physically active eating a healthy diet, avoiding sugar and saturated fats intake, and avoiding tobacco use. Go for regular screening for early signs of diabetes-related kidney disease and treatment.
