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Understanding Data ‘Openness’ Impact in Nigeria’s Health Sector

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Of all the public sector issues in Nigeria, that of health has grown quite notorious. The government, resident doctors and other public healthcare personals in several health institutions have continued to have series of show downs in form of strike actions.

Recent strikes by Neuro-psychiatric hospital Yaba, Federal Medical Center Owerri, LAUTECH Oshogbo and University College Hospital Ibadan (UCH) collectively sum up to a year and six months, and before that, data shows that recent years have not been without these showdowns which have become the order of the day.

Although the government ends up settling, the situation of things seem not to change, because after a while another strike action happens, and then the circular dance of economic shame continues.

When these strikes take place, the participants give remuneration, dilapidated facilities, power, insufficient resources, casualization, broken down equipments, not enough man power amongst others issues as reasons for the showdown.

But one wonders why after every settlement, the status quo remains.

A recent Nigeria Healthwatch article threw more light on this. That even after the government reaches a compromise with the striking groups, and salaries increased, there is still no change in quality of service delivery, reasons being that the complexity of healthcare and unavailability of relevant data makes accountability, transparency and impact measurement uneasy.

It behoves one to know that the public healthcare professionals in Nigeria are without contract or specification that states clinical expectations, terms of the service to be delivered e.g number of cases that must be attended to or patients that must be seen.

Furthermore it will wow you to know that crucial indicators like work-flow, quality, outcome and patient satisfaction are not in place.

There are no set standards in public health delivery, meaning there are no means of evaluating the allocations from the Federal Ministry of Health as well as its quarterly allocation from the National Health Insurance Scheme versus service delivered.

Zero value for money assessment, due to little or zero data, thus giving insights as to why the sector is in this mess.

Meanwhile as Africa’s biggest economy Nigeria continues to wallop in this despond, the world has left her behind.

Economies have begun data revolutions, patients are accessing their healthcare records and are comparing costs versus effectiveness, providers are mining and harnessing performance indicators across institutions, physicians are increasing cost-efficiency, researchers are accessing clinical data.

Health institutions performance, choice, accountability, decision-making and other healthy behaviors have increase and improved.

These digital economies have realized the impact that could be made when technology is leveraged to transform data into knowledge and so everyday they create systems driven by technology to spur interconnectivity; where machines and humans are transacting, collaborating, and participating in shared value creation towards opportunities, innovation, growth and development.

Back in Nigeria, we know the tale, we are willing to mimic many lifestyles of other economies, but we have refused to depart from our legacy and bureaucratic environments into a more patient-friendly digital system like they have.

In January 2014, the United States Department of Health and Human Services (HHS) and NHS England signed a bi-lateral agreement form then use and sharing of health data, tools and services towards increasing transparency and openness in government.

Since then thousands of data sets have been made available for public consumption which in turn has spiraled the emergence of several innovations.

Some of these platforms include;

A. those that leverage mortality datasets to improve accountability at hospital level thereby identifying hospitals with abnormally high mortality rates, and poor clinical practices;

B. those on which health spending and procurement data are published;

C. those that leverage crowdsourced information to help patients choose the right care at the right time and make evidence-based, cost-effective treatment decisions aligned to personal preferences and financial constraints;

D. those that use food and drug data to maintain a knowledge pool of adverse side effects from drugs;

E. those that facilitate innovation in the field of data analysis, data visualization, service design, web and app development enabling innovation using linked health data to say but the least.

Little wonder why Nigeria looses millions of dollars to both these economies and more due to ‘medical tourism’, little wonder how our hospitals are only ‘world class’ on the pages of newspapers.

This week after battling between work stress, cold, fatigue, and wellness, I ended up in a private hospital, after seeing the doctor and getting diagnosed, I was slammed with a bill which I thought was rather high and then it dawned on me, I had no choice, no other option, there was no way I could compare the cost of the treatment with that of other private hospitals so as to make a better decision.

In today’s digital era we are able to compare the costs of lots of services and products to see that which aligns with our purse, taste and more before we make purchase due to the emergence of eCommerce and price checking platforms leveraging data, but this development and innovation has fairly extended to our healthcare systems.

It cannot be over stressed that publishing data on general health outcomes can spur competition and innovation between institutions and healthcare professionals.

Opening healthcare data to analysts and researches allows for scrutiny, question-asking on resource allocations, improves quality, monitoring of indications and consistency of evaluation.

On the patient side it can facilitate preventive healthcare, health outcomes, efficiency, and security.

However our eyes may be dazzled with show, or our ears deceived by sound; however prejudice may warp our wills, or bias darken our understanding, the simple voice of nature and of reason says that until Nigeria begins to mimic this habit of ‘openness’ from other economies, the healthcare system will continue to go the way of a downward spiral.

Blaise Aboh is co-partner at Orodata, a civic tech organization transforming government and public health sector data into insightful narratives to uphold transparency, accountability, and civic inclusion.


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E-Business

CrediCorp Partners FintechNGR to Drive Consumer Credit Initiative

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Nigerian Consumer Credit Corporation (CrediCorp), has partnered Fintech Association of Nigeria (FinTechNGR) to drive consumer credit scheme initiative through a robust payment platform that would be provided by members of FinTechNGR.

Speaking at a Social Meet in Lagos, organised by FinTechNGR, with the theme: “Augmenting the Future, AI, Credit and Transformation of Nigerian Finance,” the Chairman, CrediCorp Board of Directors, Aderemi Abdul-Bojela, said members of FinTechNGR would have specific roles to play in the partnership, in the areas of providing robust platform for money transfer, technology evaluation, among others.

“Today, CrediCorp is engaging with members of FinTechNGR in a social interactive gathering to discuss collaboration and support for the growth of Consumer Credit Corporation in Nigeria. We want to interact to understand how technology will drive the crediCorp initiative in Nigeria and also to understand the role that members of FinTechNGR will play in all of these initiatives around CrediCorp,” Abdul-Bojela said.

Describing the partnership as a welcome development that will enhance savings culture among Nigerians, the Chief Operating Officer (COO) of FinTechNGR, Dr. Babatunde Obrimah, said: “FinTechNGR is an enabler of technology advancement in Nigeria. We bring the players together to drive technology innovation.

“Our role in the FinTechNGR-CrediCorp partnership is to ensure that our members support the growth of consumer credit in Nigeria, by providing the relevant payment platforms for all financial transactions among the banks who are the lenders, the customers who are the burrowers and the CrediCorp who is the guarantor.”

Speaking about the benefits for Nigerians, Obrimah said the Consumer Credit Corporation in Nigeria would enhance the country’s credit culture and enable Nigerians to save and plan well with their savings. “The initiative will address inflation, help in liquidity flow, build trust in customers’ borrowing, boost credit culture and enhance the culture of savings among Nigerians,” Obrimah said.

Addressing the issue of risk and consumer trust, Abdul-Bojela said the CrediCorp has put measures in place to ensure that the banks that would be involved in lending, would be protected and guaranteed of the repayment of the loans within the CrediCorp ecosystem.

He said there would be an independent management that would ensure that the right technology is put in place to recover all monies.


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NITDA to Integrate of Digital Literacy into School Curriculum

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Kashifu Abdullahi, director general of the National Information Technology Development Agency (NITDA), announced plans to integrate digital literacy into Nigeria’s education system, to achieve a 70% literacy rate by 2027 and 95% by 2030.

NITDA to Integrate of Digital Literacy into School Curriculum

Kashifu Abdullah, DG, NITDA

The NITDA’s DG made the announcement on Wednesday in Abuja during a media parley.

He stated that in order to include digital literacy in the curriculum at all educational levels, from kindergarten to university, the Agency was collaborating with the Federal Ministry of Education.

Abdullahi, said that this program would equip Nigerians with the digital know-how and abilities they need to succeed in the digital economy.

He emphasized that NITDA would also launch the “Digital Literacy for All Initiative” to educate Nigerians outside the formal education system and provide access to quality digital content.

Nigeria would train over two million young people in in-demand IT skills in order to become significant global outsourcing hub

NITDA is also collaborating with the Defence Headquarters and security agencies to develop digital solutions to address security concerns, including the use of drones, artificial intelligence, and other digital resources to combat banditry, abduction, and terrorism, he said.

 

According to him, the agency’s draft SRAP 2.0 plan aims to establish Nigeria as a digitally empowered nation, with a focus on innovation, national prosperity, and inclusivity.

The director general of NITDA added that, if successfully implemented, this strategy could propel Nigeria into a new phase of digital empowerment and leadership in the global digital economy.


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Experts Highlight Trusted Relationships as Key Vector

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In 2023, more than 1/5 of cyberattacks persisted for over a month, the annual Kaspersky Incident Response 2023 report has revealed, with trusted relationships emerging as one of the main attack vectors in these prolonged cases.

The report draws on the results of Kaspersky’s cyberattack investigations throughout the year, gathered when supporting organisations sought incident response assistance or when hosting expert events for their internal incident response teams.

Primary reasons of organisations approaching Kaspersky Incident Response team with service requests were encrypted files (32.8% of requests), suspicious activities (31%), data leakage (20%), and also included non-authorised accesses (3%), service unavailability (3%) and money theft (1.6%).

Among initial attack vectors of the investigated incidents were exploiting public facing application (42.4%), compromised accounts and BruteForce attacks (28.8% in total), trusted relationships (6.78%), phishing (5%), insider’s activity (3.4%).

Kaspersky Incident Response 2023 report indicates that long-lasting cyberattacks that persist for more than a month constituted 21.85% of the total, increasing from 2022 by 5.55%.

One notable trend observed in these attacks was the exploitation of trusted relationships as a primary vector. Compromises leveraging trusted relationships have occurred previously, but in 2023 their frequency increased.

As this method of attack enables threat actors to infiltrate multiple victims through a single compromised organisation, investigative teams face several additional challenges. Firstly, initially targeted organisations don’t always recognise the importance of thorough investigations and may be reluctant to cooperate.

Secondly, attacks initiated through trusted relationships often require more time to progress from the initial intrusion to the final incursion phase. Therefore 50% of these attacks lasted more than a month. A similar proportion of attacks exceeding one month were exclusively registered within the insider and phishing vectors.

“Our latest findings underscore the critical role of trust in cyberattacks. In 2023 and for the first time in recent years, attacks through trusted relationships were among the three most used vectors. Half of these incidents were discovered only after a data leak had been found.

“By exploiting trusted relationships, threat actors can prolong attacks and infiltrate networks for extended periods, posing significant risks to organisations. It’s imperative for businesses to remain vigilant and prioritise security measures to safeguard against such sophisticated tactics,” comments Konstantin Sapronov, Head of Global Emergency Response Team at Kaspersky.

 


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