Monday, 15 June 2015

I Promised God that I would improve access to healthcare for my people and replicate the services I had enjoyed in England - Dr. Chuku Abali



BY ADA DIKE


Poised to change the image of a federal medical centre in Nigeria, one of Nigeria’s tested and trusted chief medical directors has contributed immensely to ensure that Nigerians, who seek for medical care would go home satisfied after being treated.
This is what the Chief Medical Director of the Federal Medical Centre (FMC), Umuahia, Abia State, Dr. Abali Chuku, has passion for. And this has brought accolades and awards from far and near to him. Recently, in recognition of his contribution towards promotion of adequate health care in Nigeria and for the excellent work he has been doing to change the image of the FMC, Umuahia, Dr. Chuku, was inducted into International Medical Mission Hall of Fame in Ohio, United States of American on April 18, 2015. He was the first African/black man to receive the award.

Background
Born on November 23, 1962 in Port Harcourt, Rivers State, Chuku hails from Amaeke Item, Bende Local Government in Abia State. He is happily married and has three children.

Educational background
Chuku began his primary education at Bruce Grove Primary School, Tottenham, England, from 1971 to 1974 and enrolled for his secondary education at Northumberland Park School, Tottenham, in 1974. The following year, he returned to Nigeria and was admitted at the famous Mayflower School, Ikenne, Ogun State, a first-class secondary school famous for its scholarship as well as the antecedents of its founder, the late Dr. Tai Solarin, where he completed his secondary education in 1980. He came out in flying colours having earned distinction (A1) in 10 subjects and therefore earned Aggregate 6. Aggregate 6 is the maximum any candidate can make if he scores A1 in six subjects. The same year (1980) he secured admission to read medicine at the University of Nigeria, Enugu Campus, graduating in 1986 with MBBS.
Career
Dr. Chuku’s career trajectory is dotted with significant landmarks. He first began as a house officer at Queen Elizabeth Specialist Hospital (now Federal Medical Centre), Umuahia, in 1986. He was the doctor in charge, Rural Health Centre, Kafin Koro in Niger State, and later as medical officer, City Clinic, Suleja/Kafin Koro Annex, all between 1987 and1989. He later relocated to Lagos in 1989 and was engaged by Legus Specialist Hospital, Igbobi, as a medical officer. He worked for only one year and joined the services of Life Support Medical Centre, GRA, Ikeja, also as a medical officer and worked from 1990 to1992. He obtained an Associate Fellowship of the Postgraduate Medical College at the Postgraduate Medical College of Nigeria in 1992.
He returned to Enugu in 1992 and was appointed Registrar, Ophthalmology at the Department of Ophthalmology, University of Nigeria Teaching Hospital. He grew progressively and rose to the position of Chief Resident Ophthalmologist in 1994. He occupied this position until 1996 when he was appointed Consultant Ophthalmologist, Federal Medical Centre, FMC, Umuahia.
Dr. Chuku later proceeded to West African College of Surgeons and obtained the Fellowship of West African College of Surgeons in 1996.
By 2000, he became Consultant Specialist Grade II and later Consultant Specialist Grade I, Ophthalmologist also at the FMC, Umuahia, in 2004. He was the Head of Department of Ophthalmology at the FMC, Umuahia, for 14 years.
The icing on the cake of Dr Chuku’s soaring career was his appointment in May 2011 as Chief Medical Director, FMC, Umuahia.

How his journey to FMC, Umuahia began
His first contact with the Federal Medical Centre, Umuahia, was as a young doctor, an intern, he had been offered an appointment in the hospital then known as the Queen Elizabeth Specialist Hospital. The hospital gave him the opportunity to put into practice his freshly acquired knowledge as a doctor and also the opportunity to shed the very heavy ego that often comes with leaving medical school. “It was the real world; colours were not always brilliant but sometimes in shades. Things were not always beautiful and joyful, but sometimes ugly, mean and may even be tainted with wickedness. 
Hospital’s background
“The Federal Medical Centre, Umuahia came into existence in November 1991. It metamorphosed from the Queen Elizabeth Hospital which was commissioned on March 24, 1956 by Sir Clement Pleas representing Queen Elizabeth II of England. It started as a joint mission hospital administered by the Methodist, Anglican and Presbyterian churches.
“It is a 327-bed tertiary hospital, occupying 77 acres of land. It is one of the leading health care providers in south eastern Nigeria. The facility is centrally located and readily accessible from Enugu, Imo, Rivers, Ebonyi, Akwa-Ibom and Anambra States. The hospital clients and patients are drawn from all over the country but predominantly from the south-east and south-south regions of the country.’
Mission Statements:
“The mission of the hospital as the foremost Federal Medical Centre is to provide specialized and comprehensive health care services to our clients using modern equipment, research and training through highly motivated manpower operating in a friendly and conducive environment that reflects our antecedent as a missionary hospital.”
Vision:
“The vision of the hospital presently is to by end of 2015, improve the quality of existing services; increase our level of research, and the scope and depth of training. Presenting the Federal Medical Centre Umuahia as an attractive health tourist destination,” he added.
He maintained that: “Though a 327 bed hospital, as of 1996, it could only boast of five consultants and yearly streams of interns to augment services. Life at the hospital was simple and basic, patients expected much but doctors had little to offer. Investigations were basic and shallow and diagnoses were based mostly on clinical acumen and physical examination. Without the internet and the Nollywood film industry, the physicians were the glamour and the desire of every family was to have a doctor.
“After a year of internship in 1987 at the Queen Elizabeth Hospital Umuahia, and a year of national youth Service, years of residency training, I returned in 1996 to the Queen Elizabeth Hospital now known as the Federal Medical Centre Umuahia. Like most establishments under government, decay had set in and hospitals had become mere consulting clinics. With each year that passed by, the situation got worse as each machine that could not be maintained failed and materials that could not be replenished ran out. The decay in our universities also meant poorer quality of doctors produced as hands-on trainings were limited to what were available. The cascade downwards became viciously unhindered.
“The picture before my appointment was that of poor staff morale, gadgets were obsolete or unavailable. Judgment was mostly based on clinical acumen devoid of investigative support. Accommodation was inadequate and inappropriate, and ethics eroded. Perception of hospitals in the mind of the public was that of a place of last resort. Electricity power was erratic and inadequate with more hours of outage than power. Exodus of doctors to foreign shores was considerable, further escalating the already precarious situation. The Nokia phone with pen touch capabilities became a very useful gadget for nurses on night shift. This age had very little technological penetration and internet exposure.  A few private hospitals were better off than government owned hospitals but were more expensive, sadly, those that could not afford these private facilities had to choose between the government hospitals, patent medicine dealers or, traditional medicine vendors. Imagine sweating it out in a two-hour surgery, drenched in sweat, as the air conditioners had failed, and probably salaries were yet to be paid weeks after they were due.
“I was to take over from my predecessor, Dr. Onuoha on May 9, 2011, sadly that take over ceremony did not hold on that date. The Chairman of the Board of management had questioned why I had been appointed. He even suggested that the letter I had received from the President was fakes. He could not fathom how with all the plans and scheming, I could still attract sympathy from the President. My only offence according to him, was I had been appointed before then, chairman of an anti-corruption unit that to him meant I was not a good material. In his words, I was too good for the system and that he held nothing personal against me. Eventually under threat of being dropped as chairman, he succumbed and so on May 16, 2011, I took my oath of office.
“How does one run a 327 bed hospital on a 77 acres of land, 1500 staff, with a chairman of board clearly antagonistic who by the way could exercise veto powers on every voting call? The board drama was intense and vicious, and progress very slow as substantial time was spent brokering peace.
“We had put in place every known strategy to block leakages and corruption that led us to mind blowing discoveries. Interventions were put in place to address the issues as they were discovered and of course this did not go down well with those that benefited from the defects. On October 31, 2011, I got shot,” he explained.
 Assassination attempt on Chuku’s life
He has faced many deadly challenges in his career including an assassination attempt on his life, five months after he was appointed as the Chief Medical Director, FMC, Umuahia.
He shares his experience: “On October 31, 2011, about 7.10pm, I was in a meeting. I was tired and ill. The meeting was summoned by the Honourable Minister of Health in an attempt to resolve a crisis that had been on for about three weeks. Seeing no solution after four hours of talks, I suggested why not we all go home and come back the following day surely God would touch our hearts to cause us to agree the following day. We all agreed being a welcomed relief from the fruitless debates.
“I got home about 7.30pm, got to the trunk of my car to pick up some stuff I had brought home from the office and a man cladded in a long coat approached me. It was a bit dark and I could not quite make out his face. The man shot me twice with a double barrel gun. The first shot from about two metres and a second standing right over me. Then he fled into a near-by bush.
“My wife and kids rushed out to me, where I laid in a pool of blood. I thought “Oh God is this the end?” I had had barely five months on the job as Medical Director of the Federal Medical Centre Umuahia, one of Nigeria’s 56 federal tertiary health facilities, when this unfortunate incidence took place. I had a vision and a strategy but such don’t count much in a country where corruption is the norm. I dared to confront corruption in my little way and took two bullets for doing so. Now, I am more determined than ever. I spent several months in a London hospital receiving the best of care as a patient. What an opportunity and a lesson it was,” he said.
Chuku tells us another story of how he almost died three years ago. “On January 4, 2012, about 1 am, I came close to death, my blood pressure had fallen to 60/40mmHg and my pulse was about 140 beats per minute. I had just had surgery that was supposed to last 45 minutes but instead lasted 3 hours 15 minutes. A gentleman in another private room had just been certified dead by my attending physician who had inadvertently aired her fear of losing two patients that night. Was I to be the second patient? I naturally did what humans do under such situations, I was afraid and I prayed. After a few minutes into my prayer, I told God. ”This isn’t fair.” I was moved to tears as I thought of my family and having to leave them so soon. I became quiet. In that quietness all of a sudden, I felt a wave of peace it felt good, that, I had to pinch myself to know whether I was still alive.  The bandages convinced me that I was nowhere close to heaven but still on my hospital bed. Surely, God would not allow bandages in heaven.
“Realizing I was alive, I made a promise to God that in exchange for this life, I would put in my best as Medical Director, to improve access to healthcare for my people and replicate the services I had enjoyed in England.”
According to him, “Often times on an errand for humanity, the journey may starts off fairly smooth, then could get rather turbulent, and maybe even life threatening. As long as the boat does not capsize, and there is life, the journey continues. I am comforted in the knowledge that the Lord could break his prayers for my sake.
“The journey continues”.
Positions held
In the course of his career, Dr. Chuku has, over the years, also carried out assignments at different levels or fora either as chairman of ad-committees or member of many committees. Between 2003 and 2007 he was the Chairman, Medical Advisory Committee, FMC, Umuahia. He also held the underlisted positions concurrently during the same period.
·                    Chairman, Laboratory Services Commercialised Committee
·                    Chairman, X-ray Services Commercialised Committee
·                    Chairman, Drug Revolving Fund
·                    Chairman, Housing Committee
·                    Chairman, Servicom
·                    In 2008, he was appointed Chairman, Anti-Corruption and Transparency Monitoring Unit, FMC, Independent Corrupt Practices and other Related Offences Commission. He holds the position to date.
·                    In 2009, he was appointed Co-ordinator, Abia State Programme for Prevention of Blindness. He still holds the position.
Dr. Chuku is a member of the following professional bodies:
·                    American Academy of Ophthalmology (2004)
·                    Oxford Ophthalmology Congress (2009)
·                    Ophthalmological Society of Nigeria
·                    Glaucoma Society, Nigeria
He has attended many professional courses, training programmes, seminars, and conferences in both Nigeria and abroad, including American Academy of Ophthalmology Conferences which he consistently attended from 2004 to 2011. He is also a recipient of many awards including:
·                    Best handwriting (1973) Bruce Grove Primary School, Tottenham, England.
·                    Second Prize, Musical Instrument Design of the Future, Northumberland Park School, Tottenham, England (1975).
·                    Mayflower School, Ikenne Roll of Honours 1980 Distinction in 10 subjects.
·                    Best Resident in Ophthalmology, Department of Ophthalmology, University of Nigeria Teaching Hospital, Enugu 1980.
·                    Dr. Chuku is also a recipient of a number of international education awards, such as American Academy of Ophthalmology in 2008 as well as International Scholar Award, American Academy of Ophthalmology in 2012.
He is an Honorary Fellow, Chartered Institute of Purchase and Supply Management, Nigeria.
Dr. Chuku has undertaken numerous researches in his field of medicine and has published widely in learned medical journals. His extra-curricular activities include chess, table tennis, music, reading and poetry.

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