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Mali: Access to health care remains challenging in the north
GENEVA – In Mali, despite a certain political normalization, the armed conflict that has been under way for almost two years makes access to health care difficult for people living in the north. The ICRC is helping them by maintaining its support for certain health facilities.
“Access to health care is still a critical issue for people in the north of Mali,” said Christoph Luedi, head of the ICRC delegation in Mali. “Conflict continues to have an effect on the functioning of health facilities, which struggle mightily to meet people’s needs without outside support.”
After the collapse in public services that followed the beginning of the crisis in 2012, health facilities were no longer able to perform their tasks in the normal way. Even now, the Malian civil service, particularly in the area of health, has yet to redeploy in the north of the country.
“In these circumstances, it is very hard for many Malians, especially young children and pregnant women, who are particularly vulnerable, but also war casualties, to obtain treatment,” said Kathrine Zimmermann, the ICRC’s health coordinator in Mali. “That’s why it is important that we carry on with the medical activities that we have been conducting since the beginning of the conflict.”
Gao’s regional hospital and the referral health centre in Kidal
The hospital in Gao – the main medical facility in the north of the country – has been running since May 2012 thanks to the support of the ICRC, which has been regularly supplying the medicines and medical supplies the hospital needs. As a result, inpatients receive care free of charge.
From January to October 2013, more than 19,000 patients were seen by hospital staff, including 4,000 who were admitted for inpatient treatment and 878 pregnant women who gave birth in the hospital. In addition, 435 casualties were provided with care.
Furthermore, a 150 kilovolt-ampere generator has been installed in the hospital, and with the ICRC supplying 100 litres of fuel every day the facility can meet its own energy needs and is able to provide round-the-clock service.
The hospital staff are backed up by an ICRC medical team (a project leader, two surgeons, an obstetrician-gynaecologist and two nurses) that continues to provide day-to-day care.
At the referral health centre in Kidal, an ICRC surgeon is present on a regular basis. The ICRC supports the centre by providing it with medicines and by covering the entire cost of surgical care, including caesarian sections and operations performed on wounded patients. The most serious cases are transferred for treatment to the hospital in Gao.
Weapon-wounded patients who cannot be treated either in Kidal or Gao are taken to Niamey or Bamako. Since January 2013, the ICRC has carried out 29 such transfers.
Primary health care a priority in rural areas
In order to make sure that people have access to primary health care, the ICRC provides support for seven community health centres in the Gao and Timbuktu areas: it upgrades the premises, supplies medicines and provides medical staff with training and monthly follow-up visits.
“At the hospital in Gao, we noted from the very beginning an abnormally high rate of infant and maternal mortality,” said Ms Zimmermann. “Women in labour were often arriving too late – they were already bleeding internally. It was important to provide care for them at an earlier stage, which we achieved by being present in the health centres, close to the rural communities.”
The three community health centres in the Bourem area, to the north of the city of Gao, which were given similar support by the ICRC until September 2013, are now being supported by the French Red Cross.
In the third quarter of 2013, over 6,000 people were seen by the staff in ICRC-supported health centres.
Support for physical rehabilitation of war casualties
From the beginning of the conflict, the ICRC has been working in close cooperation with the Centre Père Bernard Verspieren in Bamako. The centre receives support from the ICRC’s Special Fund for the Disabled, which provides it with materials and components to produce artificial limbs and other appliances, and backs its physical rehabilitation programme.
This support enables the centre to offer comprehensive care for patients needing prostheses or physical rehabilitation as a result of injuries or other trauma incurred in connection with the conflict.
So far, 20 injured patients at the centre have been given suitable appliances or physiotherapy with ICRC support.
Embattled Nigerian pastor and founder of SPAC Nation, Tobi Adegboyega, has defended his opulent lifestyle, claiming it serves to inspire young people rather than flaunt wealth.
This statement comes amid a UK Immigration Upper Tribunal ruling ordering his deportation over visa violations.
Adegboyega, 44, faced accusations of overstaying his visitor visa, which expired after he arrived in the UK in 2005.
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He had applied to remain in the country on human rights grounds. The tribunal, however, ruled against him, citing his failure to regularize his status.
The pastor’s luxurious lifestyle, including designer clothing and expensive cars, was a focal point of the case.
Addressing the tribunal, Adegboyega stated that his lifestyle is fully funded by his wife, Mary Olubukola Alade, who earns £100,000 annually at AON.
He said, “I live with my partner, Mary Olubukola Alade, who earns £100,000 per year working for AON. I spend my time working for the church, for which I am unpaid. I am entirely supported by Mary. I have a first-class law degree from Nigeria, but I have ‘sacrificed’ my legal career to help those who cannot help themselves.”
Defending his appearance, Adegboyega emphasized the importance of projecting success to his young congregation.
The court noted, “For instance, people have pointed to the fact that he wears designer clothing and drives expensive cars. He was adamant that all of his personal possessions had been paid for by Mary.
“He believes it is important for him to dress the way that he does because he needs to inspire these young people – they need to understand that there are legitimate ways of making money, for instance through entrepreneurship.”
Despite the ruling, Adegboyega dismissed the deportation concerns as insignificant.
“I’m right here at home, no cause for alarm. Naturally, I will dismiss things that have to do with retrogression; every Nigerian should be proud of me. Living in the UK, a city that is well known for pulling people down, I have survived all sorts, so the matter that they are propagating is the smallest matter,” he said.
He further expressed confidence in his resilience. “No panic, I love London city, it is my city, and nobody can do anything. Of all the people of colour you know here – pastors and leaders – I have survived everything. I’m here, I am at home, nobody should panic for me.
“I succeeded well in this country despite all challenges, and I’m in the league of people you look up to. I have survived that well; nothing has changed, nothing will change,” he added.
Amid the growing controversy surrounding the detention of human rights lawyer Dele Farotimi, renowned Senior Advocate of Nigeria (SAN) Aare Afe Babalola has publicly addressed the defamation allegations leveled against Farotimi.
The legal action stems from claims made in Farotimi’s book, Nigeria and Its Criminal Justice System, which Babalola asserts contains false and defamatory statements about him and his law firm, Afe Babalola & Co.
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In a petition dated November 19 and submitted to the Ekiti State Commissioner of Police, Adeniran Akinwale, Babalola accused Farotimi of making “criminally defamatory” statements about him, his law firm, and two senior lawyers at his firm, Olu Daramola SAN and Ola Faro.
The defamatory remarks are tied to the Supreme Court case Major Muritala Gbadamosi Eletu & Ors v. H.R.H. Oba Tijani Akinloye & Ors.
Babalola revealed that the allegations came to light when one of his lawyers purchased Farotimi’s book while traveling through Murtala Muhammed Airport.
After reading the book, the lawyer immediately brought its contents to Babalola’s attention.
Other members of his firm reportedly did the same, prompting the senior lawyer to take legal action.
In his petition, Babalola pointed to specific passages in Farotimi’s book that accused him of corruption and unethical conduct. The petition reads:
“I write to report the criminal defamation of myself, my law firm Afe Babalola & Co., and my lawyers, Olu Daramola SAN and Ola Faro, by one Dele Farotimi in his book titled ‘Nigeria and Its Criminal Justice System’, published by Dele Farotimi Publishers, in respect of Suit No. SC/146/2005: Major Muritala Gbadamosi Eletu & Ors v. H.R.H. Oba Tijani Akinloye & Ors.
“Sometime on 2/11/2024, one of our lawyers, while traveling through Murtala Muhammed Airport, bought a book by Dele Farotimi titled ‘Nigeria and Its Criminal Justice System’. He read the book and immediately brought it to my attention. Many of my lawyers also bought the book and read it.”
“The defamatory statements are as follows:
- That Aare Afe Babalola corrupted the Supreme Court to procure a fraudulent judgment in the service of his client.
- That Aare Afe Babalola, Olu Daramola, Olu Faro, and the law offices of Afe Babalola & Co. (Emmanuel Chambers) compromised the Supreme Court and the remaining semblance of integrity it might have had, when they went back to the Supreme Court and got the Court to swim in the sewer of corruption and shameful self-abnegation.”
Babalola strongly denies the allegations, claiming that they are false and damaging to both his personal reputation and the integrity of the Nigerian judiciary.
Nigerian author and activist Dele Farotimi’s book, Nigeria and Its Criminal Justice System, has surged to bestseller status on Amazon amid a legal battle with prominent lawyer and businessman, Afe Babalola.
The controversy surrounding the book has captivated public attention, driving both online and offline demand.
The book, which critiques systemic corruption in Nigeria’s judiciary and highlights alleged misconduct by key legal figures, saw modest sales following its release in July 2024.
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However, Farotimi’s arrest on Tuesday, following a petition filed by the 93-year-old Babalola, triggered a wave of public curiosity.
By Thursday evening, it had climbed to the top of Amazon’s bestseller rankings, according to checks by Vanguard. Bookstores across Nigeria also reported a significant uptick in demand.
Biztellers reports that Farotimi was detained in Lagos by armed police officers and transported to Ado Ekiti, about 300 kilometers northeast of the city, where Babalola is based.
The senior lawyer alleged that the book accused him of compromising Nigeria’s judiciary—a claim that has sparked heated debates about freedom of speech and accountability in the legal profession.
On Wednesday, Farotimi was arraigned in an Ekiti court, where the judge ordered his remand pending a bail hearing scheduled for December 10.
Farotimi’s legal team has vowed to contest the charges, framing the case as an attack on intellectual freedom.
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