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Funke Akindele Paid, And That Is Not A Health System

Entertainment

The actress Omotunde Ogundimu posted a video appealing for help with treatment for cervical cancer. Funke Akindele donated a substantial sum. Ogundimu has since thanked her publicly, saying it was unexpected.

Nine outlets covered the donation. It is a genuinely kind act and it should not have been the mechanism.

hospital corridor waiting area
hospital corridor waiting area Photograph by Tasha Kostyuk via Unsplash.

The sequence, which repeats

StepWho carries it
DiagnosisThe patient, paying out of pocket
Cost exceeds savingsThe patient
Public appealThe patient, on camera
RescueWhoever happens to see it

Nothing in that column says insurer, and nothing says state.

Nigeria has a National Health Insurance Authority and a legal framework that made health insurance mandatory. Coverage in practice remains a minority of the population, and the overwhelming majority of health spending in Nigeria is still paid directly by households at the point of care.

Cervical cancer is the wrong disease to be crowdfunding

Because it is preventable. Cervical cancer is one of the few cancers with both a vaccine and a cheap, effective screening test. HPV vaccination and routine screening move it from a common cause of death among women to a rare one. Countries that run both programmes properly see it nearly disappear.

Nigeria introduced HPV vaccination into routine immunisation. Screening coverage for adult women remains low, and a woman who is not screened is diagnosed when symptoms appear, which is late, which is expensive, which is how a treatment bill becomes a video appeal.

Every crowdfunded cancer treatment in Nigeria is a bill for a screening programme that was not run years earlier.

The visibility problem underneath

Ogundimu is an actress, so the appeal reached Funke Akindele. Most Nigerian women with the same diagnosis have no audience, and the outcome for them is decided by what their family can raise. That is not a criticism of anybody who donates. It is a description of who the current arrangement rescues.

The Nollywood cancer story has run three times in a week: Tope Osoba buried on Thursday, Atinuke Kareem dead after breast cancer, Ogundimu appealing for help. Three names, one gap.

The thing readers can act on

Screening, while it is still cheap. That advice is worth more to a reader than any tribute, and it is the only part of this that does not depend on somebody famous seeing a video.

Reporting: Legit.ng, TVC News, Punch Newspapers and Kemi Filani News.

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