NYSC Demand of Medical Certificates: Another Misplaced Priority

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I was surprised when my little cousins ready for the 2016 Batch B Stream II Orientation Course which would run from Tuesday, 24 January to Monday, 13 February, 2017, came to inform me that medical certificates were compulsory for every prospective corps member.

On further enquiry, I learnt that NYSC has made it compulsory that every prospective Corps member must come to the NYSC camp with a medical fitness certificate from any government hospital.

Although I have no problem with the new demand considering the deaths of corps members in the last stream, my problem is that NYSC authority has technically avoided the issues that should be addressed first.

How have NYSC authorities addressed the poor sanitary conditions in their camps nationwide?

What are the sanitary conditions of the NYSC camp toilets now?

How many prospective corps members are expected to make use of one toilet?

This is important because if an NYSC camp, for an instance, has ten toilet units, and there are 3000 corps members expected in the camp then on the average, 300 corps members are meant to make use of one toilet unit. That will be very unhygienic for corps members from different social statuses and with different health challenges.

Concerning the Camp clinics, what are their levels of preparedness in tackling health emergencies? Although the NMA national president, our own Prof Mike Ogirima, has urged NYSC authority to engage the services of at least one medical consultant in each state NYSC camp, my own further suggestion is that the Director of Medical Services (DMS) of each state ministry of health, the state NMA officials with other relevant bodies in each state should as a matter of urgency visit each state NYSC camp clinics to ascertain their levels of preparedness in managing medical emergencies. This is important because even if NYSC authorities contract the services of 100 medical consultants but fail to procure emergency medical equipment and drugs, the medical consultants with their junior colleagues will only turn to prayer warriors when any medical emergency crops up in the camp. I am not in any way saying that the professional piece of advice by our very own Prof Ogirima should not be followed; all I am saying is that the poor states of our camp clinics should also be addressed.

Then as a medical student, I asked a question during our Community Medicine posting and the answer still puzzles me till date. That day we visited the Environmental Health unit of a local government in Enugu, while lecturing us on the roles of environmental health officers, I asked the environmental officer why they were not inspecting government institutions and possibly sanction any institution with poor sanitary conditions, the environmental health officer simply replied me that a kingdom does not rise against itself. That means that these environmental health officers who move around inspecting public places owned by private individuals or organisations are prevented from extending same roles to government owned institutions hence many students live under unhygienic environments in their government-owned hostels and government institutions. It follows that while the environmental health officers inspect and sanction owners of hotels, schools, restaurants, bakeries, et cetera, they are barred from carrying out same functions to government owned institutions. What a paradox? This is why NYSC camps may also not be along the ‘trajectory’ of environmental health officers.

The environmental health officer went ahead to tell us his own personal experience the day he defied the rule to visit one government institution, he said that he had not reached his own house after the close of work  that same day when the local government chairman called him to warn him never to go there again and he complied. In view of this, NYSC officials should allow the state environment health officers to independently inspect their camps to ascertain if the available facilities will be enough for the expected number of corps members. Their findings should also be made public and not to be given to the NYSC officials where they may be swept under the carpet. The Director of Public Health (DPH) in each state ministry of health should equally visit the NYSC camp in their states to ascertain the level of preparedness of the camp in preventing or handling public health issues. This is important because the medical certificate demanded by NYSC authorities can certify a corps member clinically fit but the poor sanitary conditions of the NYSC camps are enough to break down such corps member .I need not tell the DPH that there are diseases that can be contracted in crowded places or in places best described as slums. Those that prepare their foods and the places the foods are prepared should also be inspected. I need not talk about the quality of their food since there is an alternative of buying from private food vendors. The onus lies on the corps members whether to experience malnutrition or not.

Finally, some of the strenuous (not moderate) exercises organised by the military officers in the camps should be dropped or reviewed. I still wonder the relevance of such strenuous exercises to corps members with family responsibilities. If one has one’s younger siblings to take care of, I wonder the relevance of such strenuous exercises to one’s life with an average of N19, 000.00k per month. The conditions that the  corps members are meant to pass through while in the camps are enough harrowing experiences, then introducing another strenuous exercise is what Hooke’s law calls the elastic limit , beyond which we expect both the yielding and breaking points.

– Dr Paul John

Port Harcourt, Rivers state,

mazipauljohn@gmail.com, 08083658038


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