A antidepressant
B antipsychotic
C antihistamine
D analgesic
E anxiolytic
Ube, a fruit of uncommon richness and value
African pear, native pear or bush pear is a native fruit of West Africa, mainly found in south-east Nigeria, where it is popularly called ube. It is botanically known as Dascroides edulis (Fam. Burseraceae). It is pink in colour when unripe, but turns dark-purple when riped. Some people refer to it as butterfruit, due to the buttery taste in its pulpy pericarp when steamed to a certain temperature.
Constituents
Studies have revealed that ube is loaded with essential ingredients for warding off diseases. These include carbohydrates, sugars, fibre and vitamins (especially thiamine, riboflavin, niacin, panthotenate folate, vitamin C and vitamin B6).
The fruit has been reported to contain several minerals such as calcium, iron, magnesium, potassium, phosphorus, and zinc. A wide range of chemical constituents like terpenes, flavonoids, tannins, alkaloids and saponins have been isolated from the plant. Both the pulp and seeds of the African pear contain reasonable quantity of oil, containing linoleic acid, palmitic acid, oleic acid and stearic acid.

Pharmacology and health benefits
The African pear tree is used by traditionalists to prepare herbal medicines for treating several health disorders, such as fever, wound, dysentery, sores and skin diseases. Studies reveal that the extracts of this fruit have antioxidant, diuretic, antimicrobial, anti-inflammatory, anti-hypertensive, anti-sickle cell and anti-spasmodic properties which can be attributed to the phytochemicals present in it.
Studies have revealed that regular consumption of African pears help protect women against postmenopausal breast cancer, might lower the risk of age-related macular degeneration (the main cause of vision loss in older adults), help lower blood pressure (the small clustered seeds enclosed by mesocarp in the fruit are responsible for this) and also reduce the chances of a stroke.
The high content of pectin in pears make them useful in lowering cholesterol and in the treatment of parasitic skin diseases such as such as ringworm and craw-craw. Pears have been found to be good for colon health (reducing constipation by aiding normal bowel movement).
Preparations
The African pear can be eaten raw, fried, roasted or tenderized in hot water before eating. It can be eaten alone but is ideally enjoyed together with cooked, roasted or boiled corn – a perfect combination in terms of their seasonality. Pear juice, being rich in fructose and glucose, serves as a very quick source of energy.
Pear is described as a hypoallergenic fruit because it is less likely to produce allergic reactions than other fruits.
Economic value
African pear tree is typically planted for its shade and its fruit, though the bark of the tree is aromatic. The pulp contains 48 per cent oil. A plantation can produce seven to eight tons of oil per hectare. The oil is suitable for cosmetics and food; the flower nectar is also valuable for honey.
The resin found in African pears can serve as fuel (can be burnt for lighting); the tree can be cut and used as firewood, while the leaves can be used as manure for cultivating farm produce. The twigs serve as chewing sticks. The tree is usually huge, and thus can be used to improve soil quality as well as for the prevention of erosion.
The tree wood is suitable for making axe-handles, mortars and for general carpentry. The resin is used for mending earthenware. The fruits are traded locally and internationally, conferring enormous economic value on the plant. The average price of the fruit in markets in Nigeria where home consumption accounts for about 70%, ranges from USD 300-700/ton of fruits.
As a traditional food plant in Nigeria, ube has potential to not only boost health, but also to improve nutrition, boost food security, and foster rural development and sustainable land care.
By Ngozika Okoye, FPCPharm, MSc MPH (Nigeria Natural Medicine Development Agency)
Beyond Nigeria’s Quest to be Polio-Free
The recent announcement by the World Health Organisation (WHO) that Nigeria may be declared polio free by the end of August, if no new case of the condition is reported, is exceedingly cheering. Aside from the potentially gratifying effect of such a declaration on the nation, the long-awaited relief from the colossal loss and damage that the country has incurred over the years from the virus onslaught will be one to cherish for long.
Much more importantly, however the announcement is a clarion call to all stakeholders in the fight against polio in the nation to proactively watch out for and decisively deal with peculiar challenges that have consistently prevented Nigeria from successfully eradicating the disease after similar efforts in the past.

As it stands, Nigeria currently takes rank with Pakistan and Afghanistan as the remaining countries having endemic polio cases, based on data from the Global Polio Eradication Initiative (GPEI). India exited the ignoble list when it eradicated polio in February 2011. Rather unsavorily, among the three countries still battling polio, Nigeria was recorded as having the highest incidence of the wild poliovirus (WPV) strain.
It is for these reasons that the announcement by the WHO Coordinator in Cross River, Dr Thompson Igbu, while speaking at a recent workshop on integrated disease surveillance and response in Calabar, that Nigeria was close to winning the war against poliomyelitis should be a major catalyst for Nigeria to strengthen and sustain its polio surveillance system. This will not only help to achieve the ultimate goal of polio eradication but also to maintain it in the long term.
It must be recalled that it took the nation this long to be at the cusp of polio eradication because of challenges like widespread skepticism of the safety of polio vaccines, religious concerns, cultural resistance, conspiracy theories, financial obstacles, lack of political will, insecurity and logistical drawbacks. While it is noteworthy that Nigeria has had to navigate through these challenges to get to this point, it must be emphasised that these challenges have not been completely overcome.
The task before the Nigerian nation therefore is to consistently strengthen its polio eradication campaign planning, social mobilisation, enlightenment campaign communication, polio reporting system, accountability at all levels, as well as ensuring access to immunisation to trapped populations in troubled areas.
It is heartwarming that the WHO coordinator commended Nigeria for having a very strong polio reporting system and for not having a new polio case recorded since August 2016. This key strength must be maintained as it is important for tracking the disease in the country. Information is key to any intervention action.
The condition of the nation’s borders is also a critical factor to consider if Nigeria must succeed in the quest to be rid of polio for good. With the present system at the borders, there is still a great risk of setback in the quest, since these entry points are notoriously porous. It only takes just one new virus case to cross the border for a fresh outbreak of the condition in the country. This is why efforts must be made to prevent this.
It is also necessary to state that the same template that has served Nigeria well in the current polio eradication drive needs to be adapted in taming other vaccine-preventable diseases in the country. These include measles, hepatitis B, pneumonia and tetanus. Our routine immunisation strategy for these conditions should therefore be adjusted accordingly to achieve success.
We must not fail to commend our development partners for the goodwill that Nigeria has enjoyed on its onerous journey to polio eradication. The success recorded by the country so far in the quest has been significantly boosted by the tremendous support the nation has received over the years from the Global Polio Eradication Initiative(GPEI), WHO, the Centre for Disease Control (CDC), the Bill & Melinda Gates Foundation and other global development partners. We believe that the best way to appreciate these partners and justify their support is to ensure that the current war against polio is decisively and permanently won.
Prince Adebayo is our August Personality
Pharm. (Prince) Olufemi Adebayo is the managing director and chief executive officer of KikePharm Company Limited, Ilesa, Osun State, Nigeria.
Born about 50 years ago to the family of Late (Prince) Umran Adebayo and Mrs Abegbe Adebayo of the Abegunodo ruling house of Iwo, in Iwo Local Government of Osun State Nigeria, Adebayo had his secondary education at St Mary Grammar School, Iwo, Osun State from 1973 to 1979. Thereafter, he proceeded to the University of Ife, now Obafemi Awolowo University (OAU) Ile-Ife, Osun State, Nigeria, where he studied Pharmacy and graduated in 1983, with second class honours (upper division).

Adebayo had his internship programme at his alma mater, OAU, from 1983 to 1984, before going for his mandatory one-year national service (NYSC), at Aniocha Local Government, Delta State, from 1984 to 1985.
Adebayo worked briefly at the Oyo State Hospital Management Board in 1985. However, in a bid to fulfill his childhood dream, he voluntarily resigned in 1986 to join community pharmacy practice. He was superintendent pharmacist, Boorepo Pharmaceutical Chemist, Osogbo, Osun State, from 1986 to 1989; and superintendent pharmacist, Sola Med Chemist, Ojoo, Ibadan, Oyo State, from 1990 to 1991. It didn’t take long before he realised his dream of establishing his own pharmacy. He founded KikePharm Company in 1991.
Adebayo, a passionate professional and dedicated administrator, went further to bag a postgraduate diploma in Computer Science in 1997 at Osun State College of Education, Ilesa, Osun State.
Pharm. Adebayo, an entrepreneur par excellence who has earned recognition across the country for his professionalism, expertise, leadership skill, and dedication, has attended several national and international conferences, seminars, trainings and workshops organised by the ACPN, PSN, FIP, WAPCP and several others.
Adebayo has significantly contributed his time, knowledge-base and resources towards the progress of the Pharmaceutical Society of Nigeria (PSN) and Association of Community Pharmacists of Nigeria (ACPN) in several ways, including being the publicity secretary PSN, Osun State (1992-1999;) treasurer, PSN, Osun State (2000-2002); national financial secretary, ACPN, (2000-2003); national treasurer, ACPN (2006); chairman, PSN, Osun State Branch (2006-2008); chairman, Conference Planning Committee, ACPN (2009); council member, PSN (2006-2011); national treasurer, PSN (2008-2011); national chairman, ACPN (2012-2015) and coordinator, Osun State Board of Fellows, PSN.
Prince Adebayo is happily married to Oluremi Adebayo and blessed with four children, one of whom is a pharmacist.
Okogun Recommends Review of Homegrown Drug Production Processes
Stakeholders at every level of intervention have been advised to collaborate and review administrative processes and the approach leading to the identification of plants, scientific research, development and approval of remedies and drug production from Nigerian herbs and plants.
This call was made by Emeritus Prof. Joseph Okogun, of the Department of Chemistry, University of Ibadan, at a public lecture, which was part of activities organised to mark his 80th birthday by Bevekt Gedu Chemical Company.

The lecture titled: “Active, Bitter and Sweet – A Lifetime of Research on Plants, Anti-Cancer Remedies and Drug Discovery”. Okogun described plants as unrivaled organic chemical factories, producing useful chemicals that man exploits for various purposes, and the reasons why the natural chemistry of plants is important to healthy living.
He also spoke on a variety of active ingredients that have been discovered from everyday leaves and fruits found in Nigeria and West Africa that can either treat or manage a lot of common ailments in Nigeria and elsewhere at affordable cost.
“There are organic and natural remedies for the management of various diseases including cancer and HIV/AIDS using several decades of data from scientific research on plants by Bevekt Gedu. Out of Bevekt Gedu’s work, a pure compound initially obtained from a Nigerian plant which has been adopted and about to be finalized for drug development as a blockbuster drug by IMI of USA. This is an indication that opportunities for long lasting and sustainable investments are abundant locally”, he asserted.
The public lecture was chaired by Engr. Adama Okoene, former managing director, Midwestern Oil. It was attended by healthcare professionals, academicians and other professionals from public and private sectors.
Prof. Okogun further explained the extraction, isolation, analysis and modification of active natural products for potential drug leads or drugs and molecular probes; and the role of different professionals in the process of drug discovery.
Plant materials are usually processed and powdered for extraction with solvents of various polarities so that different types of compounds are extracted by the different solvents. The solvents range from gases (carbon dioxide and hydrocarbon) in supercritical fluid states, petroleum either through ethanol to water. For instance, the removal of solvent, the usually dark brown gum is separated into the component compounds in the mixture using various chromatographic methods with or without bioactivity screening depending on the nature of the targeted compounds.
He explained that biological activity screening is done by pharmacognosists, pharmaceutical chemists, pharmacologists, biochemists and microbiologists to identify potential drugs and other biologically active compounds including pesticides. Toxicologists determine the toxicity including teratogenicity of identified potential drugs.
When biologically active compounds are identified, there may be need to improve on the activity and or toxicity by modifying the structures using chemistry linked with biology. Identified potential drugs with known mechanism of actions are used as molecular probes in diagnosis and disease research.
Generally, drug discovery and production are results of a multi-disciplinary enterprise and require input from most human disciplines of study which Prof. Okogun gave as follows; botanists as taxonomists, chemists for isolation and chemistry/identification of active principles, zoologists and animal breeders produce animals needed in invitro and invivo studies; while biochemists, pharmacognosists, pharmacologists and microbiologists conduct biological activity studies.
In addition, toxicologists do toxicity studies, clinician (human and veterinary) and pharmacist will do clinical studies and use-as medicines, while lawyers and entrepreneurs for patenting and marketing respectively. All of these activities by different stakeholders will create a local value chain and lead to the multiplier effect of saving foreign exchange and thousands of jobs in the rural and urban areas.
Enjoying Life Without Abusing Drugs
Drug abuse has reached an unprecedented level in our nation today and its dire consequences are around us. It has destroyed thousands of young people’s lives, predisposed hundreds of people to danger and it has negatively impacted our socio-economic landscape as a country.
Did you know that 70 per cent of people who commit crime are under the influence of drugs? Kidnapping, armed robbery, insurgency and other crimes can be traced to the negative consequences of abuse of substances, such as alcohol, marijuana, tramadol, rohypnol, codeine with syrup, just name them. A myriad of lives have been lost, and many individuals had been injured. The question is who is next? Yes, who is next?

People who abuse drugs pose great danger to themselves, their family and friends, as well as the society at large. Everybody loses to drug abuse, physically, socially, financially and mentally.
Costly gamble
It is a strange fact that many people abuse drugs out of ignorance. Oh yes, they abuse drugs to feel good, ease stress, avoid reality or build confidence. People abuse drugs because they want to experience the peace, joy and love they lack in their lives. They aspire to feel on top of the world and experience live fully despite its challenges. Unfortunately, while they experience some immediate benefits they also experience devastating consequences of drug abuse that alter the quality of their life forever.
Let’s remind ourselves certain terminologies about drug abuse.
So, what is a drug? A drug is any chemical substances which, when administered to a living organism produce a biological effect which may cause physiological or psychological change in the body as the case may be.
Drug abuse is more concerned about psychological change in the body than physiological change. All drugs are poisons, depending on the dose.
What is a medicine? A medicine is a chemical substance used to treat, cure, prevent or diagnose a disease or to promote well-being. A drug is different from a medicine. All medicines are drugs not all drugs are medicines. Heroine is a drug, but not a medicine. When it comes to drug abuse, we have medicine abuse and substance abuse.
What is drug abuse? Drug abuse is the habitual use of drugs for non-therapeutic purposes. Drug abuse leads to dependence, dependence becomes addiction. Drug addiction is the compulsory use of drugs for non-therapeutic purposes. Not when it puts your health or finances or life in danger. But when you cannot do without using the drug; when someone has become the slave to the drug and the drug has become the master. Then, the person is addicted.
Between abuse and misuse
Drug abuse is close to drug misuse. However, they are different. Drug misuse is when you are not using a drug appropriately, whether in terms of dosage or frequency. For instance, when, instead of taking medicine two times daily (12 hourly) a person takes it once daily or three times a day. Instead of taking two paracetamol you decide to take three because you want fast action. These are all instances are drug misuse.
So far, we said people abuse drugs to feel good; build confidence, ease stress, avoid reality or face challenges of life. Again, we differentiated between drugs and medicines. We opined that while all medicines are drugs, not all drugs are medicines. Furthermore, we shed light on drug abuse and drug misuse. Drug abuse is the habitual use of drugs for non-therapeutic purposes, while drug misuse is the inappropriate use of medicines for therapeutic purposes.
Life without drug abuse
Is there a way we can experience peace, joy and love in our lives without abusing drugs? Yes, there is a sure way. Are there truths we need to learn and live by as an individual and a society concerning drug abuse? Yes, there are facts about drug abuse we must have at our finger tips. Can we fight this menace from a point of understanding and compassion instead from a point of ignorance and judgement? Definitely, we can, together we are stronger?
Next time, we will look at some common myths concerning drug abuse and proven strategies to experience inner joy, peace and love.
ACTION PLAN: I avoid drug misuse. I take stock about my life to find out if I am abusing any substance. I am an ambassador against drug abuse. I educate people, especially my friends and family against drug abuse and its consequences.
AFFIRMATION: I stay away from drug abuse and misuse. I am blessed and highly favoured.
PS: Kindly watch out for our social media campaign against drug abuse as we educate people on drug abuse, its dangers and how to feel good without abusing any substance.
You Need Grace With Talent
Natural abilities make it easy for one to accomplish great results. The professional musicians, entertainers, athletes, academicians and the likes succeed easily because of their natural abilities. They capitalise on this advantage and rise above others to distinguish themselves in their fields.
Today, there are some young graduates who have taken to the career of master of ceremonies at social functions. They joke and keep the guests relaxed, merry and laughing. Of course, none of them entered the university to study what they now practise. Instead, they have discovered what they can easily do with their talents and are doing it with passion.

It is not so with some other people. Some succeed through working hard and intelligence. They identify some opportunities and determine to make the best use of them. They focus intensely on what they want to achieve. They think big and positively. They develop high self-worth and carry themselves about as important and successful people. The truth is: they eventually get what they want because of their positive attitude and strong belief and desire.
I had a friend and colleague named Greg. He was a workaholic and this eventually propelled him to the top of the company. We used to have our lunch in the same restaurant, when I was in employment. Greg would hurry over his meal and return to his table, leaving us to chat away and wait for the lunch period to be over. He was so committed to his work as if it was his personal business. Of course, Greg rose to the position of the CEO after some years. He took his work very seriously and, above all, he loved his work. These qualities accounted for his success and rapid progress in the company. I cannot say confidently that he was talented.
Greg never allowed any distraction to take him out of his focus. He set clear goals for himself and worked with perseverance to achieve them. One day, during lunch, Greg said to me, “If I have the chance to be in control of this company, I will surely do better than the MD.” He saw future possibilities and believed in making positive contributions. Even as a junior manager at that time, he was already seeing himself as a possible MD of the company. And his dream came true eventually.
Success is not easy. Having your own company and managing it well is challenging. It demands discipline, hard work, perseverance and determination. Despite these attributes, the truth is that success cannot be guaranteed by talent and hard work alone. I found something in the Bible which is revealing. Ecclesiastes 9:11 says, “The race is not to the swift or the battle to the strong, nor does food come to the wise or wealth to the brilliant or favour to the learned; but time and chance happen to them all.”
Life is full of cases where the talented and educated people are poor and not honoured. Natural abilities and hard work are not enough to guarantee success and prosperity. Some people were very brilliant in school but found it hard to make meaningful progress in their careers and businesses. You have to be at the right place at the right time. The element of chance can have tremendous impact on people’s lives.
There are some people who can be described as just ordinary, but as a result of association with certain persons, they became wealthy and influential. On the other hand, some people have made a mess of their abilities and destinies as a result of associating with the wrong people. First Corinthians 15:33 says, “Bad company corrupts good character.” The type of people you associate with will surely affect your progress in life. “Iron sharpens iron, and one man sharpens another” (Proverbs 27:17).
Some people succeed despite apparent disadvantages of poverty and ignorance in the family. Others are born with silver spoon in the mouth and yet seem to be lost in the crowd. Here, personal choices and decisions play crucial roles.
I listened to a successful businessman talk about himself. He said that, as a child, poverty in the family kept him out of school and other activities which other children enjoyed. He said that right from that early age, he hated poverty and made up his mind that he would accumulate wealth, and his children would never taste poverty as he did. He chose to be rich and he truly became wealthy.
Highlights of the 37th ACPN Conference 2018 (VIDEO)
The 37th National Conference of the Association of Community Pharmacists of Nigeria(ACPN), held successfully in Benin-City, Edo State recently .
Captured in the video are some high points of the conference, like the acceptance speech of the newly elected ACPN chairman – Pharm. Samuel Adekola, and others.
Click the video to watch
Study decries Rise in Sale of Non-prescription Antibiotics
A new study has tracked the growing impact of non-prescription antibiotics from community pharmacies worldwide, highlighting the urgent need for better enforcement laws to help stem resistance to the medications, according to the latest Australia-linked research.
“We searched global databases for studies published from 2000 to 2017 which reported on the frequency of non-prescription sale and supply of antibiotics in community pharmacies worldwide,” Queensland University of Technology researcher, Emmanuel Adewuyi, said in a statement on Thursday.

“Studies from 24 countries were analysed and to our alarm we discovered that antibiotics are frequently supplied without prescription in many countries.
“This overuse of antibiotics could facilitate the development and spread of antibiotic resistance.”
Antibiotic resistance accounts for more than two million infections and 23,000 deaths annually in the U.S., and around 25,000 deaths in Europe each year, said Mr Adewuyi, who worked with Britain, U.S. and Nigerian researchers on the findings that were published in The Journal of Infection medical publication.
Economic growth and better access contributed to the global increase in supply of the antimicrobial drugs, with the majority of the overall rise in consumption occurring in places including Brazil, India and South Africa, the researchers found.
Mr Adewuyi said most of the antibiotics supplied without prescription were used to treat ailments that were acute and self-limited, such as upper respiratory tract infections and gastroenteritis.
“Considering most countries have laws prohibiting over-the-counter sales of antibiotics, there is a need to ensure such laws are more strictly enforced where appropriate,” he said.
The supply of antibiotics without a prescription in community pharmacies is a “global problem”, said the study’s lead author Asa Auta, from Britain’s University of Central Lancashire.
“Such practice not only predisposes patients to inappropriate drug and dose choices, it portends great risks for the development and spread of resistant organisms, masking of diagnosis as well as delayed hospital admissions.”
I Envision a Better Tomorrow of All Round Excellence in Hospital & Administrative Practice –Elechi
Pharm. Oyim Elechi, is the Assistant Director of Pharmaceutical Services, Federal Teaching Hospital, Abakaliki Ebonyi State. He had served the Pharmaceutical Society of Nigeria (PSN) and Association of Hospital and Administrative Pharmacists (AHAPN) at various capacities, at different times. He was Assistant National Secretary, PSN; Chairman, AHAPN Ebonyi State branch; Assistant National Secretary, AHAPN; National Secretary, AHAPN; and others. He is a major aspirant for the position of the AHAPN national chairman, in the forthcoming election, scheduled to hold at the 20th Annual National Scientific Conference of AHAPN, from 30 July to 3 August 2018, in Port Harcourt, Rivers State. In this exclusive chat with Pharmanewsonline, Pharm. Elechi speaks on the kind of height and progress he wants for hospital and administrative pharmacy practice in Nigeria, if he emerges the national chairman of AHAPN.

Excerpt below:
You were a former national secretary of AHAPN. What informed your participation in organised activities of AHAPN?
I gained employment into to the public service as a matter of opportunity not necessarily because I desired it. And so when I got into the system, I discovered that a lot of things were not in their proper perspective especially in the area of the quality of our practice and also the welfare and conditions of services of hospital pharmacists in Nigeria. And this became the driving force which propelled me into pharmaceutical activism. In 2004, I was first elected Chairman of AHAPN Ebonyi State branch and then I was later elected Assistant National Secretary in 2006 at Asaba. Our members thereafter overwhelmingly honoured me by offering me the opportunity to have served them as National Secretary (2009-2012) at the AGM held at Imo Concorde Hotels, Owerri in 2009.
I would therefore say that my participation in organised activities of AHAPN was borne out of personal enthusiasm on one hand and on the other the abiding need to bring about positive change in the quality of our practice and also make the difference in the welfare and conditions of services of hospital and administrative Pharmacists in Nigeria.
Tell us more about your involvement in pharmaceutical activities in the past, aside that of AHAPN?
I had served as a Pharmaceutical Inspector in Ebonyi State from 2004 to 2014.In this capacity I was a member of the Pharmaceutical Inspection Committee (PIC) of the Ebonyi State Office of the Pharmacists Council of Nigeria (PCN) and was involved on part-time basis in the routine inspection, registration and or re-certification of Pharmaceutical Premises and Patent and Proprietary Medicine Vendors’ Premises for licensing annually. In doing this, we were guided by the need to enthrone best practices and standards in the quality of practice obtainable in the pharmaceutical sector in Ebonyi State and to also ensure that the premises conform to the rules of engagement as prescribed by PCN.
I also had the privilege to serve as Chairman, Welfare Implementation Committee of PSN Ebonyi State branch, between 2005 to 2007 and was in-charge of the implementation of a Welfare Scheme for Pharmacists in the state. I also served as Secretary and Chairman of the Pharmacy week Planning Committees of PSN Ebonyi State branch in 2005 and 2014 respectively. An overwhelming majority of pharmacists in Nigeria also bestowed on me the outstanding honour and privilege of having served them as Assistant National Secretary of the PSN between 2012 and 2015.
In this capacity, I was also opportune to have served as the Acting National Secretary at times in the absence of the substantive National Secretaries then, Pharm. Victor Okwuosa and Pharm. Iyiola Gbolagade and I contributed my own quota to the advancement of the cause of our profession in Nigeria.
You are one of the aspirants contesting for the position of the national chairmanship of the AHAPN, in the forthcoming national conference of the association holding 30 July to 3 August 2018. Running with the slogan “Elechi is the answer”, could you state some of the answers you have got to resolve the challenges of hospital and administrative pharmacists in the country?
One of the major challenges we face as hospital and administrative pharmacists in Nigeria is the practice environment. You know pharmacy profession is an evolving one. We are moving from the traditional roles of Pharmacists as dispensers to offering a more comprehensive pharmaceutical care which includes: Therapeutic Drug Monitoring (TDM), Pharmaco-vigilance, Prescription validation and audit.etc. But the greatest challenge we face is that whereas these practices have already taken roots in the western world with hospital pharmacists making important contributions in the patient-care chain, the authorities in Nigeria appear to have developed clay footedness in accepting and embracing the wind of change blowing across the globe in the area of pharmaceutical services in the hospital.
If elected as AHAPN National chairman, by God’s grace, I intend that the standards of our practice must be harmonised across the country. We would also segment the standards of practice according to the various levels of healthcare provision of primary, secondary and tertiary. We shall work closely with council on this project and we would be insisting on strict enforcement of the regulations by council. It is also my intention that the concept of Unit dose Dispensing System (UDDS) and the philosophy of pharmaceutical care would be enthroned as a minimum benchmark of practice at the tertiary level of provision of Pharmaceutical services in this country .In this wise, council would also be made to set standards and guidelines for this and we shall follow up on this through advocacy to the appropriate quarters.
The unavailability of essential medicines in many hospitals across the country is no longer news. This assertion was given credence to by even the First Lady of the Country, Hajia Aisha Buhari when sometime last year she visited State House Clinic and observed to her utter dismay that there were no basic medicines such as paracetamol. This undoubtedly remains an aberration and is totally unacceptable in the healthcare system. The reasons for this ugly situation varies and range from the practice of different models in the procurement-supply chain management of pharmaceuticals in different healthcare institutions in the country to the operation of a dysfunctional Drug Revolving Fund Scheme (DRFS) in some institutions.
The National Drug Policy of the country prescribes the operation of Drug Revolving Fund Scheme in health Institutions but in most institutions this prescription is observed in breach by their managements. If elected as National Chairman, I shall champion advocacy at a very high level of government which would result in harmonisation of the procurement-supply chain system for pharmaceuticals in all health institutions and bringing them to be in tandem with the prescription of the National Drug Policy on one hand and also we shall seek the enactment of a set of regulations which would strengthen the DRFS with a view to repositioning it as a business concern, a model of practice that would in turn yield good returns on investment to stakeholders annually.
Specifically, what major changes would you effect in hospital and administrative practice, if you emerge the national chairman of AHAPN?
We also intend that the pharmaceutical services departments of health institutions in the country would be restructured to reflect the paradigm shift and new realities in our practice. In line with this sterling objective, we shall cause to be sent in proposals for the creations of five (5) divisions in the department viz: Pharmacy Administration, Clinical Pharmacy, Public Health Pharmacy. Poisons, Drug and Food Information Services, Pharmacy Procurement-Supply Chain management and Drug Production and Quality Assurance. We shall also engage in meaningful dialogue and also pursue the implementation of the specialist pharmacist cardre for holders of the fellowship certificate of the West African Postgraduate College of Pharmacists. This way, there would be abundance of highly skilled professional manpower with increased knowledge on drug administration and management to support the clinicians in the provision of quality healthcare to our patients. As you may be aware, healthcare services is a team work with the patient at the centre of all care endeavours. It is like a relay race where one sprinter hands over the baton to the next person.
Drug abuse and misuse has been a major public health challenge in the country for a while now. What’s your opinion on how best to resolve this issue and what roles can AHAPN members play in this regard?
Information, education and communication remain the major approach in educating of the lay public, especially the youths on the dangers of drug abuse/misuse. The agencies of government responsible for the enforcement of the laws especially on misuse and abuse of narcotics, psychotropic substances and illicit drugs in general must also be alive to their responsibilities. There should be no compromise on this. Strict enforcements of the laws remain the key to winning the war against drug abuse and misuse. The members of AHAPN can play vital roles in the areas of education and information of the public. In fact, it shall form one of the thrusts of our administration agenda, if elected National Chairman .If resources permit, we shall also run unprecedented media blitz on this.
What is your vision for AHAPN in the next 5 Years?
I envision better tomorrow for hospital and administrative pharmacists in Nigeria, a tomorrow wherein excellence would reign on our professional practice in all locations of practice. A tomorrow where the Drug Revolving Fund Scheme would be allowed to run unencumbered and it would be repositioned like an enterprise so as to assure continuous and uninterrupted availability of essential medicines in our hospitals on one hand, and also yield good returns on investments to stakeholders. I envision a tomorrow where conformity in the standards of our practice would be enthroned in all locations of practice across the country. My vision is to have hospital and administrative Pharmacy practice strictly and adequately regulated by council.
I envision a tomorrow where our association, AHAPN would have been repositioned to a model organisation that have climbed the mountaintop and found progress, prosperity and development and the overall happiness and well being of our members would be guaranteed.
On a final note, the above plans of action do not represent an absolute account on a sector-by-sector basis of what I intend to do if elected National Chairman, AHAPN. Rather, it is a modest effort to connect with our members on the task that lies ahead in the collective endeavour of strengthening our practice for better service delivery to our patients and building a better, strong and virile AHAPN.
I therefore ask for the mandate of the members of our Association to enable me performs this duty which my inner being relentlessly desires. I give our members my word of honour, I will deliver. So help me God!
My Vision is to Give Hospital & Administrative Pharmacists their Rightful Positions- Buhari
Pharm. Abdulrashid Bashar Buhari, is the Deputy Director of Pharmaceutical Service and the Head of Department, National Eye Centre, Kaduna. A former national vice chairman and national secretary of the Association of Hospital and Administrative Pharmacists of Nigeria (AHAPN), Pharm. Buhari is also the Project Manager of the Essential Drugs Revolving Fund Scheme, of the National Eye Centre, Kaduna. He is a major contender for the position of the AHAPN national chairman, in the upcoming election, scheduled to hold at the 20th Annual National Scientific Conference of AHAPN, from 30 July to 3 August 2018, in Port Harcourt, Rivers State. In this exclusive chat with Pharmanewsonline, Buhari speaks on how he will use his wealth of experience, to liaise with all relevant agencies and stakeholders, from the Office of the Head of Service of the Federation, to the Federal Ministry of Health, to the Federal Ministry of Labour and Employment, to the National Council on Establishment, to bring about the desired result that would favour members of AHAPN, if he emerges the AHAPN national chairman.

Excerpt below:
As a former national secretary of AHAPN, what stimulated your interest in organised pharmacy activities, and in what other capacity have you functioned in professional association?
Firstly, my love for the pharmacy profession has been my driving force in all activities I find myself, as it relates to the profession. Generally speaking, my life has ever been devoted to serving God and humanity, right from my primary school days, up to the university, even to my present workplace. My greatest interest in life has been to defend peoples’ right and to protect their interests. I have also functioned as the national vice chairman of AHAPN.
Tell about your work experience and achievements made so far?
Presently, I am a Deputy Director of Pharmaceutical Service and the Head of Department. A position I have held from 1992. I was able to set up the Essential Drugs Revolving Fund Scheme in the hospital, established the local production of eye drop unit, Library and drug information unit. Again, I successfully established the pharmacy consultation unit as against the window dispensing designed for the hospital. I am also the Project Manager of the Essential Drugs Revolving Fund Scheme. Furthermore, I was privileged to serve in the Strategic Planning Committee that designed the roadmap for National Eye Centre.
I have held the following positions in the Senior Staff Association of the National Eye Centre, Kaduna: Branch Secretary, 1993 – 2001; Branch Vice-Chairman, 2001 -2009; Branch Chairman, 2009 – 2014; and Branch JOHESU Chairman 2011 – 2014.
You are a strong contender for the position of the national chairman of AHAPN in the upcoming election at the 20th Annual Scientific Conference of AHAPN, what is the significance of your campaign slogan, “Forging a better future for all” to the practice?
My campaign slogan “Forging a better future for all”, reveals my intention to consolidate on the gains we have made so far by collaborating with members of our Association, the Pharmaceutical Society of Nigeria, Office of the Head of Service of the Federation, National Council on Establishment, Federal Ministry of Health, Federal Ministry of Labour and Employment and other relevant ministries and agencies as the need arise.
There have been several challenges facing pharmacists, especially hospital and administrative pharmacists in the country. Could you mention some of them and how you intend to resolve them, if you emerge the national chairman of AHAPN?
I can identify four broad challenges affecting hospital and administrative pharmacists in the country. These are: (i) Indiscriminate application of scheme of service; (ii). Non-recognition of pharmacist consultants; (iii) Non uniformity in designation of Heads of Pharmacies in hospitals; (iv) Training and retraining of hospital and administrative Pharmacists, etc.
In tackling 1-3 above, I intend to work with various stakeholders including the Office of the Head of Service of the Federation to issue and release relevant circulars to address the issues. In addition, liaising with National Council on Establishment, Ministry of Labour and Employment and other relevant ministries and agencies, to bring about the desired result that would favour members of AHAPN. I would also pragmatically engage with like-minded individuals and groups to forge a common ground which will promote the aspirations of members.
In tackling the fourth challenge, I intend to use the instrumentality of workshops and seminars to encourage members to be enterprising with a view to sponsor themselves for trainings and retraining.
Aside all these you have said, what tangible offer do you have for all hospital and administrative pharmacists in Nigeria?
I bring my experience to the table. It might be interesting to note that part of the benefits our members are enjoying presently, were achieved during my tenure as a member of the national executive. Also, I have garnered experience both as a good manager of men and resources, to become a robust unionist, who values the core values of humanity. As a deputy director, I believe my modest contributions locally and nationally to the strides of AHAPN will come in handy if I am given the mandate as the national chairman of the Association.
Where do you intend to see AHAPN in the next ten years?
In ten years’ time, I want to see that all the challenges raised above are resolved and pharmacists take their rightful positions in the public service at all tiers of government.
Nursing Profession in Nigeria: The Long Road to Recognition
The struggle to give nursing and nurses the professional recognition they deserve in the country has been a protracted one. At the beginning of the struggle, efforts were made to look inwards and identify the inherent professional factors in nursing, which could be put forward to the government for proper professional recognition and placement. Efforts were made to convince the government that nursing in Nigeria meets the established criteria for classifying a line of work as a profession. These include:
The profession has a special body of knowledge acquired through a long period of recognised educational programme, on which its skills and services are based; and continually expands this body of knowledge through continuing investigation, analysis and research.

The profession has a service orientation or concern which provides some needed unique services to the people which cannot be given by everybody (expertise).
The profession establishes and controls its own polices and activities. It is self-regulating with its practitioners in full control of their functions and services which are standardised by its code of ethics in the interest of the consumers; who experience and declare the quality of such services (Autonomy).
The profession has an association (to which all practitioners belong) to monitor, foster and ensure quality of education and practice as well as representing the members in negotiating condition of services and social wellbeing.
Roy Bixler (1981) in agreement with these criteria, observed that a profession’s integrity is in its power to formulate provisional polices and control of professional activities.
Nursing education
On nursing education, it is not only of long duration but also at higher educational level. For schools of nursing, the period is 36 calendar months. For university-based nursing education, the duration is five years. Pratt (1968) relating education to standard, submitted thus: “It was realised that to raise the standard of nursing and to meet the increasing scientific knowledge and ever changing needs of the community, candidates with broad educational background, intellectual ability, technical dexterity and emotional stability are needed to meet the challenges not only of the present, but of the future”. This led to the review of basic nursing curriculum to include some general knowledge and social and natural science subjects.
In September 1964, the Department of Nursing at University of Ibadan was founded. Admission of the first set of students for the Bsc. programme was conducted in September, 1965. This was the first indigenous entry into university education in Nigeria. It is pertinent to mention here that educational advancement for professional development requires professional association in the frontiers of the struggle for professional emancipation. The birth of National Association of Nigeria Nurses and Midwives (NANNM) in 1981, led the struggle for recognition of the professional status of nursing.
The above measures and more were put in place to improve the standard of nursing service delivery system and establish professionalism of nursing in Nigeria. This recognition of nursing as a profession was concretised and epitomised by the Industrial Arbitration Panel (IAP) award declaration of 1981, which states: “Nursing is a profession ‘sui’ generis, subject to no directions or control whatsoever by any profession, except in so far as it forms part of the organic whole”.
Threats to full recognition
With this award and recognition of nursing as a full-fledged profession, the implementation which would have redressed the lingering relegation of nursing and inappropriate remuneration of nurses, was expected to follow smoothly in Nigeria. Disappointingly, however, this never happened. Instead, various antics to make the award redundant started coming from government officials.
For instance, the recommended appointment of a director of nursing services (item 5 of the IAP ward) was made to be at the pleasure of the Minister of Health. NANNM was at a time informed that: “a nurse can be promoted to the post of director but the minister has the prerogative to organise the ministry to suit his Administration.”
In 1991, Professor Olikoye Ransome Kuti, the then Minister of Health restructured the ministry of health and scrapped nursing division on the grounds that he could not see the need to separate nursing from medicine.
The same year, under Prof. Kuti, the Ministry of Health wrote a letter to the executive secretary, National University Commission, to stop designing or approving university degree programmes for health professionals (including nurses) other than medical doctors.
In addition, the needed professional scheme of service which would have adequately addressed items 3 and 4 of the award was always being checkmated by government officials. Thus, since the struggle seemed not to have been resolved by the IAP award, the legal tussle was taken to courts of competent jurisdiction. Thus in 1981, 1999, 2010 and 2012, respectively, there were nine judgments that consolidated the professional status of nursing in Nigeria.
Nurses therefore continued to express their frustration to the extent of being seen as perpetual complainants against professional injustice. The struggle for full implementation of the award took centre stage, with frequent trade disputes and strained industrial harmony in the health sector. This no doubt continued to have negative effect on nursing service delivery system, with nurses’ image at the receiving end. (Continues next edition)
By Comrade Nurse Abdrafiu Alani Adeniji
(National President, National Association of Nigeria Nurses and Midwives)
We Shall Rebrand, Reposition Hospital & Administrative Practice with 8-Point Agenda – Dr Amibor
Dr Kingsley Chiedu Amibor, is the national vice chairman, Association of Hospital and Administrative Pharmacists of Nigeria (AHAPN), and a Clinical Pharmacist with the Federal Medical Centre (FMC) Asaba, where he currently occupies the position of Assistant Director of Pharmaceutical Services (ADPS). He is also a Consultant Pharmacist and a Fellow of the West African Post Graduate College of Pharmacists (FPCPharm). A major aspirant for the position of the AHAPN national chairman in the forthcoming election, scheduled to hold at the 20th Annual National Scientific Conference of AHAPN, from 30 July to 3 August 2018, in Port Harcourt, Rivers State. In this exclusive chat with pharmanewsonline, Dr Aminor reveals his vision to rebrand and reposition hospital and administrative practice, through his 8-Point Agenda. Excerpts below:

Tell us about your work experience in the hospital, and what informed your involvement in organised pharmacy activities?
I joined the hospital sector in January 2001, specifically the Federal Medical Centre, Asaba, a parastatal under the Federal Ministry of Health (FMoH) from the industrial sector. Being a core parastatal, I have remained with the centre since 2001. I rose through the ranks at the centre to become an Assistant Director of Pharmaceutical Services (ADPS). Inside the hospital, I have worked in various sections and headed such units as Accident and Emergency (A&E) Pharmacy, Obstetrics and Gynaecology (O &G) Pharmacy, Drug Information Centre, Inpatient Pharmacy among others.
My involvement in NAHAP (now AHAPN) began as the Chairman of the Federal Medical Centre, Asaba Chapter in 2006, from where I went to serve the Delta State Branch in 2008, first as vice chairman, and later as chairman in 2011. I was also assistant general secretary of the Delta State Branch of the Pharmaceutical Society of Nigeria (PSN) from 2011 to 2013. In 2015, I was elected the national vice chairman of AHAPN, a position I occupy till today by the grace of God. I am the pioneer Editor-in-Chief of the health magazine of the Association known as “The Hospital Pharmacist.” The maiden edition of the Magazine was launched at the 19th Annual National Conference of AHAPN in Lagos 2017. Hopefully, the 2nd Edition will be launched at this year’s conference in Port Harcourt. My love for the profession and the desire to serve humanity, prompted me into holding all these positions.
As a major aspirant of the position of the AHAPN national chairman, what is your goal for vying for this post?
Like I did say, I rose through the ranks in AHAPN, rising from being a chapter chairman to being the incumbent national vice chairman. I have been a member of AHAPN Council for 7 uninterrupted years and member of the National Executive Committee for the past three years. These positions have afforded me the opportunity of having firsthand knowledge of the challenges confronting hospital and administrative pharmacy practice in Nigeria (and I can assure you that they are myriads). As the saying goes, knowledge is power; so having got a good knowledge of these challenges, effectively puts me and my team in a better position to tackle and overcome them by the grace of God, for the ultimate good and progress of the pharmacy profession.
Specifically, what major changes would you effect in hospital and administrative practice if you emerge the national chairman of AHAPN?
I did mention the fact that there are challenges confronting hospital pharmacy practice.
➢ One of such challenges is what I may call lack of brand identity. For instance, medical doctors are synonymous with medical care, nurses with nursing care, but what do people identify hospital pharmacists with? Most times they refer to us as dispensers or chemists at best. So if given the opportunity to become national chairman of AHAPN, one of my first assignments will be to embark on corporate rebranding. By this, I mean that we will adopt pharmaceutical care as our philosophy of practice. In other words, we will offer care as our brand of care, and graduate from the age old “Dispenser Status” that we have been identified with over the years. God willing, we will do away with “window dispensing” permanently as the rest of the world has done, including African countries. There will be need to restructure existing pharmacy departments in various hospitals to create confidential chambers for patient counseling.

How will this be feasible? With my training as a clinical pharmacist, I know this is very feasible, but might take some time to implement fully. We will embark on aggressive and extensive advocacy to the relevant ministry, management of tertiary hospitals such as chief medical directors of teaching hospitals and medical directors of federal medical centers across the country and gradually move to secondary care hospitals. We will also embark on in-house advocacy to our colleagues and sensitize them on the need to key into our intended pharmaceutical care reforms. Since pharmaceutical care has become the norm all over the world, we will strive to offer the benefits of such care to the Nigerian people, the ultimate benefit being improvement in and maintenance of the quality of life.
➢ As part of the corporate rebranding, we will embark on health education and health promotion activities (which is part of our training as clinical pharmacists) at both national and state levels, to shore up the image of the hospital pharmacist whom the public for a long time saw as the man behind the window that dishes out drugs to patients (though that mentality is gradually changing). This we will do in collaboration with the media.
Nigerians need to know that pharmacists are a body of professionals with diverse knowledge and training to impact positively on health care delivery. As core care givers, we are in a position to render service in such a way as to improve patient outcomes positively.
➢ Another item on my agenda is an improvement in the welfare of our members, and we intend to give the average hospital and administrative pharmacist a sense of belonging and to carry them along in all we do.
➢ We will work with the Pharmaceutical Society of Nigeria (PSN) and other relevant bodies to ensure release of the circular on consultancy for pharmacists in the country. Good thing that some states are already giving recognition to consultant pharmacists, we expect more to join in the near future, with the federal government taking the lead.
➢ Another area of focus will be to encourage specialization in core areas of pharmacy among our members. The rest of the world has moved on in this regard and pharmacists cannot afford to lag behind. Gone are the days when you will see a medical doctor or nurse or medical laboratory scientist carrying out his entire professional duties all by himself or herself. There is a popular saying about a jack of all trades been master of none. If we can have a respiratory physician or dialysis nurse or chemical pathology medical laboratory scientist, nothing says we should not equally have a psychiatric care pharmacist or renal care pharmacist and so on. The healthcare sector is very dynamic and all professionals practicing therein are now specializing and equipping themselves with skills and competencies to render optimal patient care.
As a matter of fact, I have put together what I call an 8-Point-Agenda on the way forward for hospital and administrative pharmacy practice in Nigeria. But I may not be able for lack of time to exhaust all of them in this interview.
For some time now, hospital pharmacists have been complaining about being marginalised by the doctors. What would you do to rectify this if you emerge the national chairman of AHAPN?
Good question. Of a truth, pharmacists are being marginalised in Nigeria. You find pharmacists spend 5 or 6 years in pharmacy school (just like their medical colleagues) depending on whether Bachelor of Pharmacy or Doctor of Pharmacy programme, and upon graduation, you find out that the disparity in pay is so much. For instance, a director of pharmacy in a tertiary hospital nwho has put in 35 years in the civil service goes home with less than five hundred thousand naira or thereabout monthly, whereas a medical consultant less than 12 years post qualification earns about a million naira monthly. In most hospitals, almost all committees and clinical units are headed by medical doctors only, including offices of Chairman Medical Advisory Committee (CMAC), deputy CMAC, and so on.
You discover that a pharmacist with a Masters degree in Public Health (MPH) is not even appointed into the hospitals ethics committee, which is always dominated by medical doctors, some with just first degree (MBBS). Patient care all over the world is a collaborative process involving the medical doctor, pharmacist, nurse and other healthcare professionals with the patient at the centre. So if I get elected as national chairman, we will pursue a path of dialogue to make the medical doctors realise that healthcare delivery is teamwork and they must carry other professionals along in the overall interest of the patient. We will do everything possible within a legal framework to improve on the existing relationship between medical doctors and pharmacists.
Aside all these you have mentioned, what tangible offer do you have for all hospital and administrative pharmacists in Nigeria?
I like to begin by correcting an impression; that is the Association of Hospital and Administrative Pharmacists of Nigeria (AHAPN) as the name goes, comprises not just hospital based pharmacists, but those in administrative positions like (NAFDAC and others) and regulatory as well (including ministry of health). So you see we are talking about a wide body of pharmacists.
One thing we promise all pharmacists is that God willing, we will give them a sense of belonging. We will cause the voice of the pharmacist to be heard. We will strive to achieve job satisfaction for all pharmacists. The other issues we will tackle are enumerated in the 8 Point Agenda already mentioned. My campaign slogan is “Its time to rebrand, reposition and repossess Hospital and Administrative Pharmacy Practice” and I mean every word of that, God helping us. This is what I promise all pharmacists, again God willing.
What is your vision for AHAPN in the next 5 years?
My vision for AHAPN in the next 5 years is that of a group of pharmacists who will render quality and optimal care services to patients in collaboration with other healthcare givers, in a conducive practice environment, with a sense of fulfillment and guaranteed job satisfaction.


































