BeyHealth Quarterly Journal (BHQJ) BHQJ 2018: 001:1 (May 2018) - Page 34

REFLECTIONS What are they doing for that money? You know would be implementing the outcome of the where it’s gone. You know what you are conference. supposed to get for your money. Immediately We are in the middle of a health emergency, therefore, you have accountability, you have noting that it is getting worse all the time. We transparency, so you have got responsiveness, are not standing still, we are going backwards. you have got bottom-up financing, you’ve got Everyone likes to say 15 percent Abuja money following patients, you’ve got quality declaration – we should be spending that. systems, you are breaking down barriers The Abuja declaration was 2001. If we didn’t between public and private healthcare and I hit 15 percent in 2002, let us say you took the could give you another 10 things that it will do! warning, got to 2002 you didn’t hit 15 percent. Obviously, this increases the amount of money Let us say you hit 7 percent or 5 percent or the in the healthcare system, which means you can 4 percent, then it means you didn’t spend 10 now spend more and improve your quality percent of that budget that you should have much quicker. It means that …again someone spent. Now 2 years later, in 2003, you are no mentioned that there is predictability if you have longer at 15 percent but you should have been patients who are on health insurance because spending 20 percent. So now, we are over you have a good idea of the minimum amount 100% behind! of money that you can expect each month. You NO!! NO!! we are in the ditch and it is being can take that money to your bank and you can measured by death. Every statistic is a human get a loan to put towards the purchase of your tragedy, so we need to get that sense of ultrasound machine, etc. As you start using the emergency, a sense of urgency, a sense of ultrasound machine, more patients come and panic and the only thing that will make that you have more money coming in per month. happen You then decide to employ a nurse, a gentlemanly. We need advocacy. I don’t want is activism. Advocacy is too physiotherapist, another doctor or whatever … to diss it, but you need the people who are so you see, health insurance is a poor word. I going to say – No! I’m going to chain myself to haven’t come up with another name for it, but the fence of the National Assembly because it's immediately you say insurance, everyone goes, about time you pass the new NHIS law …We “b o r i n g”. However, when you start saying – really need to get mad. Now let me confess. I no it is not insurance, it is financing and it is have been talking about activism but I haven’t showing what …(AR: It is innovating healthcare started physically being an activist. This is funding). Yes!! It is directing new money into the because I am getting the team together, so you right places and we could go on like that… are joining the team and let's get mad, let's get trading differences. angry and let's get some actions! AR: Thank you very much. Do not get tired. I’m AR: And don’t forget you know I am a senior going to really fuel up your activist spirit and we lecturer at the university, so I have got a whole are coming back to you again and again… bunch of young people waiting. Young people OS: Can I say one word about activism? are young. Young people are energetic. Young people are out-of-the-box thinkers. Young AR: Yes you can. You can say plenty of words people are digital natives. We will get them all about activism and how we can all become involved. Thank you very much, Dr Soyinka. activists. Always a lovely pleasure to speak with you. OS: Because I wouldn't be a true activist if I Thank you. didn’t (say a word). The point is …this is an emergency and the one thing about health emergency is how can we sit here and it is just statistics, but actually if it was a plane crash issue…I haven’t done the calculation (AR – it is every 20 minutes for 24/7) …we would not be sitting here. We would have done the conference and we 34 | MAY 2018 | Issue 1