2030 AGENDA (SDGs) AND CORONAVIRUS
To achieve the 2030 agenda, good health and well-being (SDG 3) is paramount as it is a healthy person in the right frame of mind (mental health) that can make the other SDGs achievable. However, before this can be possible, SDGs 1, 2, 4, 5 and 6 are the major driving force or factors of a good health.
Let’s see how,
During the MDGs years (2000-2015), central government funds were released, offices were created (office of the MDGs) under the presidency control, and individuals were appointed to key positions but, infant mortality rate was at 72.7 deaths per 1000 live births due to multiplicity of health system related, political and systemic challenges ranging from lack of human capacity for implementation, poor access to primary healthcare delivery systems with high cost of healthcare, inadequate funding and indiscipline with endemic corruption, absence of monitoring and evaluations. This period was also known to have recorded 10 different healthcare workers strike over a period of 3 years which paralyzed the healthcare industry and consequently led to avoidable mortality and morbidity rate as well as increase in medical tourism.
Furthermore, the MDGs period also experienced the insurgency/kidnappings which led to increase in communicable diseases and malnutrition caused by poor hygiene and sanitary practices from lack of Water and Sanitation Health infrastructures, loss of farmlands and agricultural produce with poor or no food security as a result of displacement of people in the affected regions, limited access to healthcare services, drop or poor school enrollment, while their mental health was destabilized. Also, the National Health Insurance Scheme (NHIS) covered only about 3% of the population while healthcare verticalization (attending only to the current health issue while abandoning the ones at hand, current case of covid-19 in Nigeria to other health issues) was practiced. Without affordable healthcare services, death is inevitable. To these effects, Nigeria can achieve the SDGs if it starts to use hospital based data for the SDGs projections and discouraged verticalization of healthcare while she embraces integration.
Nigeria has identified five SDGs that are closely linked to the country’s national development priorities as captured in the Economic Growth Recovery Plan (EGRP), SDGs 1,3,4,5 and 8. SDG 1 is tied to the National Social Investment Program (NSIP) and to the EGRP, SDG 3 linked to the Nigeria Strategic Health Development Plan and SDG 4 implemented through the Nigeria Education Sector Strategic Plan. The road map to the SDGs in Nigeria designed to focus on six thematic areas namely: policies, data management, institutions, partnership, communications and finance and to be carried out in three phases, phase 1: 2016-2020, phase 2: 2020-2026 and phase 3: 2026-2030.
In January, 2020, the WHO declared the outbreak of a new coronavirus disease (covid-19) to be a public health emergency of International concern. It also stated that there is a high risk of covid-19 spreading to other countries around the world. In March, 2020, WHO made the assessment that Covid-19 can be characterized as a pandemic then on the 11th of March, 2020, The WHO declared Covid-19 a pandemic due to the number of cases over 118,000 in over 110 countries and territories of the corona virus diseases illness and the risk of further global spread.
The disease has taken hold in Europe (Italy, Spain, United Kingdom), The USA (the current epicenter of the virus), and Asia (Iran, South Korea) and is beginning to wreak havoc in Africa and South America with over 2, 761,121 confirmed cases, 193,671 deaths and 760,047 recoveries as at 26th of April, 2020, 21.17 West African Time. Globally, we have 8, 050,373 confirmed cases, and 436,710 deaths with 4,155,506 recoveries and current cases of 3, 458,175 (3,403,581 which make up 98% are with mild conditions and 54,576 which is 2% are in critical condition) while Nigeria has 15,682 cases and 407 deaths as at 5:28pm, Nigeria time, 15th June, 2020. (https://www.worldometers.info/coronavirus/)
In the wake of this pandemic which presently has no cure nor vaccine, the best possible way to prevent contracting it is by staying home and by regular hand washing with soap and under running water and when there is no water, the use of Alcohol based hand sanitizer should be enforced. Unfortunately, most developing Nations like Nigeria do not have access to adequate and equitable safe and affordable drinking water nor sanitation and hygiene for all, waste management practices amongst all is generally poor. Our cities and communities are mostly full of satellite towns and shanties considering our architectural design, our consumption are irrational, how do we now enforce the hand washing principle where water is not adequate or where do those that live in a one room, one bedroom and two-bedroom apartment self-isolate?
The Covid-19 pandemic has ravaged economies of the world because presently almost all the nations are on lockdown and the populace are living in fear. The implication of the pandemic which has hindered the 2030 agenda include:
STRESS. The whole world is stressed and the health sector are being overwhelmed, all attention are being shifted to covid-19 patients while other patients are not receiving the total attention they should be getting, you know what that means? Increase in morbidity and mortality rate, SDG 3, target 3.3, 3.8 has been defeated by covid-19. Medical personnel doing a continuous job and scientists are urged to find the vaccine and or cure to Covid-19 as soon as possible, this can lead to a drop in mental health when the pressure and stress is too much for the body to handle, even Singapore’s calm of prosperity in a turbulent region has been disoriented.
COMMUNITY TRANSMISSION: in the developed nations, total and partial lockdown with social distancing are being enforced to reduce community transmission and flatten the curve of the spread of the virus, even the Vatican is closed to the public (we saw that during the Easter Celebration) and the Kingdom of Saudi Arabia has announced the closure of the Mosque and Kaaba to public as well as to pilgrims for the ummrah and the Ramadan period) the adherence in these nations are substantial because the governments have been able to provide palliatives to its citizens. However, on the part of the developing Nations, adherence to social distancing and lockdown as failed as palliatives were not thought of before enforcing lockdown. When palliatives were provided, they were not even enough and people defiled the lockdown and social distancing rule with the excuse that they needed to find what to eat for their families, the result is what we are seeing in the past one week which might escalade in the next few weeks. SDGs 1, 2 and 3 are under threat here.
LACK OF CAPACITY AND RESOURCES: few weeks back, the USA opened its immigration portal for a particular category of skilled people under its immigration rule, this is to enable them have enough hands to treat covid-19 and most of the prospective applicants are going to be from developing Nations who are currently lacking the basic health care capacity and resources. In Nigeria, the ratio of Doctors to patients is roughly put at 1: 200,000, and they will still be part of those that will make the leap to America is search of greener pastures, blame them not, it will get to an extent your loyalty to your motherland will be questioned when you are not getting commensurate reward for the service you rendered. Also, presently, the world is in urgent need for ventilators, Nose masks, hand gloves and other Personal Protective Equipment (PPEs) needed to keep the Covid-19 at bay. The world is currently short of healthcare givers and resources to effectively manage the Covid-19 pandemic, SDGs 3, 8 and 9 are under threat.
HAMPERED DEVELOPMENT: presently, major expenditure projects in Nigeria have been suspended, India’s aim of 100 gig watts of operational solar power capacity by 2022 which 80% of the solar cells and modules are to be imported to the country from China has been put on hold and achieving the 2022 targets is not feasible and SDG 7 threatened
THREAT TO LIFE UNDER WATER: we have seen that the current increase in the use and indiscriminate disposal of nose masks have a potential of wreaking havoc to life under sea by deaths of water organisms, and a potential of an endemic arising from reactions between water organisms and the viruses from the used nose masks which might further extend to the consumers of underwater organisms and a potential outbreak or reoccurrence of the Covid-19 might be inevitable.
Other implications of Covid-19 include:
- Reduced demands and production of some products like Crude oil, and ICT such as the case of Organization of Petroleum Exporting Countries (OPEC) and Mobile Phones Companies.
- Economic drivers (manufacturing, agriculture, tourism and entertainment) are grounded, a case of Vietnam and Thailand rice farmers, China Solar panel Manufacturers, most or all hotel reservations are being called off, Indonesia will lose about $4 million in tourism related revenue, aviation industry is grounded, jobs are lost, incomes are being cut (Arik Air has cut its workers salary by 80%) even the footballers in major leagues around the are being asked to salary cut. All of these have potential disastrous implications.
- Restricted movement and commerce which will lead to spike in the prices of commodities and services and supply chain will be disrupted.
- Overwhelmed facilities and infrastructures.
- Factories shut down, cut in production and output.
- Education disruptions.
- Setbacks to economic and growth recovery program (presently, companies in Denmark registered in tax havens won’t be able to access financial assistance).
- Increase in unemployment rate.
- Economy contraction, looking at recession and probably slip into depression.
- Lost business revenue.