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The silent struggle: Tackling students’ mental health

By Khadijat Ogido 

Maintaining good health is essential for students every day. Well-being is a holistic journey that integrates physical, mental, and emotional health. Mental health is a cornerstone of well-being, though many students overlook it.

Mental health problems can affect a student’s energy level, concentration, dependability, cognitive ability, and optimism, which hinder their performance. Students consider symptoms like anxiety, depression, eating disorders, psychotics, and mood swings as everyday experiences which often lead to mental illness.

According to mental health research conducted by the National Alliance on Mental Illness (NAMI), one in four students has a diagnosable mental illness. “A lot of pressure from parents, stress from exams, the pressure of getting good grades in university. These aspects destroy the inner peace of students”.

In a world where stress and fast-paced demands are commonplace, prioritising self-care and balanced living can significantly impact health and happiness. However, the case is often different for most students. 

The stress of pursuing academic excellence sometimes leads to neglect of health. To pass their exams, most students stay up late, reading for more than 16 hours a day, and some do not properly care for their diet, which has resulted in mental, physical, and psychological problems.

Mental health is vital at every stage of life, from childhood to adolescence and adulthood. There are several causes of mental health illness in students, such as depression, anxiety disorders, personality disorders, obsessive-compulsive disorder, panic disorder, etc. Most students on campus experience some of these problems but always downplay them as usual.

Amina Abubakar, a 300L architectural student at Bayero University Kano (BUK), narrated her experience of how school activities have challenged and affected her mentally. She said, “Being a student is difficult because I must attend lectures, do tests, assignments, and presentations. Most of the time, I have a serious headache if I return from school. The headache lasts for more than two days, and I won’t be able to eat or sleep.”

Similarly, Maryam Jibrin, a student in the economics department, lamented about the price of being a student. She said, “Being a student, trying to get good grades, maintaining social relationships and trying to cope with the current hardship is on another level because it’s affecting most students in many ways. At times, students feel depressed and stressed out. Some students will even lock themself inside and don’t want to talk to anybody, and when u ask them what is wrong with them, they will say they are fine”.

Consequently, mental health issues among students have a significant effect on their academic performance. Social relationships, behavioural issues, physical health, lack of concentration, insomnia (difficulty sleeping), and other problems might affect students physically, mentally, and psychologically. 

Matt Haig, an English author and journalist, said, “Mental health problems don’t define who you are; they are something we experience. You walk in the rain and feel the rain, but you are not the rain.” Therefore, students who experience any symptoms of mental issues should not panic. They should always seek advice and help or talk to someone, not keep things to themselves.

In conclusion, since students must overcome academic stress to pass, the university authority should help create an environment that will enable students to study by building a counselling hall for students to go to when they feel depressed. Also, family and friends should not leave their loved ones alone without checking up on them, which might make them feel alienated. 

Students should engage in activities that bring them joy and relaxation, eat on time, take a break, give themselves time to rest, exercise, and be healthy. Health is wealth. Don’t hesitate to seek support when you need it. Your mental health matters, and seeking help is a sign of strength, not weakness.

Khadijat Ogido wrote via ogidokhadijat82@gmail.com.

Broken homes, broken lives: A call for parental responsibility

By Garba Sidi 

It’s truly disheartening how some parents neglect their responsibilities in shaping their children’s behaviour. This lack of care can leave their biological sons and daughters feeling unloved. Love is crucial for a child’s healthy development.

On my way out of the city this morning, I overheard a conversation between two young men, no older than 24, who were smoking cigarettes. One said, ‘We have no value in people’s eyes because we messed up our lives.’ The other responded, ‘I swear, Nasiru, when I look at my friend Aminu, his life seems so good. Everyone likes him; he studied hard, has a good job, and looks at us, sitting in this dirty place. We ruined our lives, and we’re ashamed of ourselves.’

Nasiru’s friend spoke in a low voice, gathering his thoughts before narrating his story. He explained that his father was a car driver and his mother was from Bauchi State. When his father married his mother and brought her to Jigawa, she told him about his father’s recklessness in providing for their needs (his and his younger sister’s). After some years, his father married another woman, and whatever resources he brought came to her, leaving them with nothing but what their neighbours offered.

His mother sadly passed away, plunging him into deep sorrow. From that point on, their life became a struggle. He started going to the fish market to earn money for food and other necessities, as his stepmother used everything his father brought, even food, leaving them barely enough to eat. His stepmother, who didn’t have children herself, would sometimes even tell him his father wasn’t a man because he couldn’t give her a child.

He had friends who smoked cigarettes, and being around them constantly led him to become a drug addict. He blames two things for his current situation: the love he lost from his father and the death of his mother.

His friend, Nazy, then began his story about joining this group of drug addicts. He attributed the core reason for his situation to his mother’s neglect in shaping him in his youth. He explained that his mother sold food at home, and his father was a mechanic engineer. Many people came to their house to eat, and as the only male child, both parents showered him with love and didn’t punish him when he did wrong.

He started working as a shopboy for one of their regular customers. Things went well initially until he met the daughter of a wealthy businessman. They began a relationship, and she introduced him to a world of excessive entertainment, including smoking cigarettes, drinking syrup, injecting drugs, and inappropriate physical contact. Tragically, her father caught them drinking syrup in his apartment and handed Nazy over to the National Drug Law Enforcement Agency (NDLEA) while his daughter continued to enjoy a comfortable life without consequences.

Nazy’s parents tried to get him out of jail but were too late. The wealthy man paid money to have Nazy imprisoned, blaming him for ruining his daughter’s life. Nazy spent five months in prison before being released. He heard the wealthy man’s daughter is now in Uganda. This is how he ended up in this cycle of addiction.

Desperate Nigerians need solutions, not tragedies

By Hussein Adoto 

After the palliative distribution tragedy in Nasarawa, I published an article in a national newspaper where I noted that “distribution events, especially those intended to provide aid or relief, tend to draw large crowds, making effective crowd control essential.” 

However, the Nasarawa tragedy wasn’t the first. I wrote: “In February, the Nigerian Customs Service had to suspend its sale of seized bags of rice after seven people died at one of its centres in Yaba, Lagos. Some two years ago, 31 people died at a stampede at the King’s Assembly in Rivers State during the distribution of palliatives to church members; seven more were injured.” I wrote that in March this year.

We are now in December and have recorded at least three stampedes in one week. First is the one that consumed 35 kids in Ibadan. On Saturday, another stampede was recorded in Maitama, Abuja, where at least 10 people died trying to get food. In Okija, Anambra state, three people died due to another stampede. They all went for bags of food and returned home in body bags. Sad.

Sadly, worsening poverty has pushed people into desperately hustling for freebies, to the point of getting stampeded. One would expect that in a war zone like Gaza, where more than 100 people were killed and 700 more injured in a stampede in March this year. Yet here in Nigeria, a country not under siege, our outcomes mirror those of a war zone.

How did we get here? This is one of the most trying periods for Nigerians, and I say this as someone who witnessed the pangs of the COVID-19 pandemic and the recession before it. Although we are told this trying time is a phase that will soon pass, it is dragging on for too long, leaving a litany of crushed souls in its wake. The palliative measures, however meagre, are welcome and necessary to ease our sore bowels. 

Still, the repeated tragedies that trail these events highlight a deeper negligence that we have normalised. Crowd control has always been our problem in Nigeria, and it doesn’t matter whether the event is a palliative distribution, a political rally, or a concert. We tend to be unruly. 

Security officials sometimes shove and cane crowds at political gatherings to make way for VIPs. I saw a video a while ago where a former governor was shoved to make way for the new one. On campuses and in open-air university programmes, the situation is similar. Students shove, push, and tug to no end. It is worse on the days of GNS exams.

Is it not this week that a video of Nigerians crowding aircraft boarding stairs emerged? Even a conference of the Nigerian Bar Association in 2022 ended in chaos as “learned” lawyers scrambled for souvenirs. Now, if we are like that on an average day, how worse can we be when we are poor, hungry, and desperate?

I’m glad the Nigeria Police Force has warned against the unorganised distribution of palliatives. Hopefully, this will tame the gathering of rabid freebie seekers and distributors. It needs to. This cycle of desperation, chaos, and death must end. We can’t keep endangering people in the name of helping them. 

Charity organisations should estimate the number of people they can serve and focus only on those people. Budgeting for 500 people while targeting thousands with publicity campaigns is risky, if not criminally negligent. By focusing on a manageable number of beneficiaries, these organisations can distribute their palliatives without dealing with an overwhelming crowd.

Secondly, they should divide the distribution into chunks. They can do this by age, gender, or community. Instead of gathering everyone, young and old, male and female, into one combustible whole, they can divide them into crowds of tens and fifty instead of hundreds and thousands. That way, even if the crowd gets unruly, the outcome won’t be as tragic as it is. 

The venue itself must also reflect proper organisation. Hosting hundreds of desperate people in a small, gated space with one or two entry and exit points is a recipe for trouble. Crowds kept in areas without shade, water, and seating will likely devolve into chaos. Therefore, managing these factors will prevent an avoidable tragedy. 

Meanwhile, we can’t rely on quick, short-lived palliatives to quench the country’s raging thirst for sustenance. To give Nigerians a modicum of respite, the underlying factors of inflation and underemployment must be addressed immediately.

As desperate times in the country make Nigerians desperate for freebies, we must not allow them to become victims of their desperation. If they don’t see the danger of being unruly, palliative distributors should anticipate and prevent that danger. This starts with treating Nigerians with dignity instead of seeing them merely as a queue to be managed.

Hussein Adoto writes from Ilorin via bellohussein210@gmail.com.

Nneka Chidoka Outreach Program launches nationwide campaign for increased cancer care funding

By Sabiu Abdullahi

The Nneka Chidoka Outreach Program (NCOP) has embarked on a nationwide campaign to advocate for increased funding for cancer care in Nigeria’s 2025 budget.

With a staggering 124,000 new cancer cases reported annually, the current lack of adequate funding has resulted in many Nigerians being denied access to life-saving treatment.

Despite efforts by the Federal Ministry of Health, including the Cancer Health Fund (CHF) and the National Cancer Access Partnership (NCAP), limited funding and infrastructure gaps have restricted the benefits to only a fraction of cancer patients.

To address this, NCOP is collaborating with the Ministry and the National Institute for Cancer Research and Treatment (NICRAT) to urge lawmakers to allocate more funds for cancer care during the 2025 budget deliberations.

The campaign’s key objectives include securing ₦25 billion to transition the Cancer Health Fund into the Catastrophic Health Insurance Fund for sustainable cancer care, closing the ₦97 billion funding gap for completing six Cancer Centers of Excellence under the National Oncology Initiative, and expanding funding for NCAP to ensure more Nigerians have access to affordable cancer medications.

Osita Chidoka, Founder of NCOP, noted the importance of collective action, saying “Cancer is a battle we must fight together. We are urging all Nigerians to take a stand by signing this petition.

“With your support, we can push for meaningful investments in cancer care and give hope to thousands of families.”

To support the campaign, individuals can sign the petition and share the message on social media using the hashtag #FundCancerCare2025.By working together, NCOP aims to ensure that no Nigerian is left behind in the fight against cancer.

The organization is committed to transforming Nigeria’s healthcare landscape and improving access to cancer care through early diagnosis, advocacy, and funding support.

With the help of Nigerians, NCOP hopes to make a significant impact and bring about positive change in the lives of those affected by cancer.

Save your wedding: Early genotype testing matters

By Usman Muhammad Salihu

Genotype incompatibility continues to disrupt lives and relationships across northern Nigeria, where premarital medical testing is not yet mandatory. The emotional and financial toll it takes on couples, families, and communities cannot be overstated. 

I recently encountered two striking reminders of its devastating impact. First, I came across a trending wedding invitation card on Facebook. What stood out wasn’t the design or details but the heartbreaking update: the wedding had been cancelled due to genotype incompatibility. 

Shortly after, while scrolling through WhatsApp statuses, I saw my sister and classmate, Ummu Kulsum, express her frustration in just a few words: “Ya Allah, why does all this genotype matter?” Her lament instantly reminded me of my brother’s ordeal, where his marriage was called off barely two days before the wedding for the same reason.

These instances are not isolated. They represent a growing crisis fueled by a lack of awareness and delayed action. Many couples only undergo genotype testing at the final stages of their wedding preparations, often when financial and emotional investments are at their peak. 

Discovering genetic incompatibility at such a late stage forces painful decisions: risk the health of future children or cancel the union altogether. In northern Nigeria, where premarital testing is not yet compulsory, such stories are alarmingly common. 

While no religion or culture explicitly prioritises marriage over health, societal practices and insufficient awareness often lead to preventable heartbreaks. Religious and cultural leaders uniquely advocate for early genotype testing as an essential part of marriage preparations.

Sickle cell disease (SCD), prevalent in Nigeria, is one of the most severe outcomes of incompatible genotypes. Couples with AS-AS or AS-SS combinations risk passing this life-altering condition to their children. Living with SCD involves chronic pain, frequent hospital visits, and significant financial strain—all of which could be avoided through proper testing and awareness.

The time has come for a societal shift. Policymakers must work towards making premarital genotype testing compulsory in all northern states. Religious and traditional leaders should advocate for such measures and integrate genotype counselling into premarital counselling sessions.

Healthcare providers and educational institutions must also increase efforts to educate the public on genetic compatibility. Awareness campaigns can normalise discussions about genotype testing, emphasising its role in building healthy families and preventing avoidable heartbreaks.

For families like mine, the trauma of cancelled weddings due to genotype incompatibility is a painful memory. The financial losses and emotional distress are entirely avoidable with early testing and informed decisions. My brother’s experience and countless others highlight the urgent need for collective action.

Love is an essential foundation for marriage, but so is the responsibility to ensure a healthy future for one’s family. By prioritising early genotype testing and raising awareness, we can prevent the heartbreak of cancelled weddings and the lifelong struggles associated with genetic disorders.

The solution is in our hands. We must act now—for love, health, and future generations.

Usman Muhammad Salihu is a PRNigeria Fellow and wrote in from Jos, Nigeria. He can be reached at muhammadu5363@gmail.com.

The state of our environment: Do environmental health officers still have an impact?

By Abdullahi Mukhtar Algasgaini

The environment is the place where humans, animals, and plants live. In recent years, the environment has been facing significant challenges from various angles.

With this brief explanation of the environment, we can say that our lives and those of other creatures around us are closely linked to the environment.

However, the environment and environmental officers continue to face growing challenges from the government and the wider community. These problems seem to be increasing every day.

The Daily Reality had an interview with one of the environmental officers, Idris Shafiu Aliyu, who explained the reasons hindering success in establishing regulations and managing the environment.

1. Lack of sufficient trained Environmental Health Officers (EHOs).

2. Lack of enough trained personnel to collaborate with (e.g., Police).

3. Corruption among some stakeholders within the Environmental Health Officers.

4. The strong influence of politics in the operations of Environmental Health Officers.

5. Lack of public awareness on the importance of environmental sanitation, which hinders progress in the sector.

6. Insufficient funding for Environmental Health Officers and the lack of public education on the importance of sanitation.

7. Lack of respect and appreciation for the work of Environmental Health Officers by some members of the public.

Improving your environment doesn’t mean abandoning it; prevention is better than cure.

Prevent dryness: Key skin care tips for winter

By Abdullahi Mukhtar Algasgaini

Taking care of your skin during the cold season is very important because the cold weather can cause the skin to become dry, lose its softness, and become rough.

Here are some steps you can follow to take care of your skin during the cold season:

  1. Drink Plenty of Water: During the cold season, people often breathe in dry air, which can cause the skin to lose moisture. Therefore, it is important to ensure that you drink plenty of water to keep the skin hydrated.
  2. Use Moisturizer: Make sure to use a moisturizer or lotion that will add moisture to your skin. The moisturizer helps to lock in moisture and prevent the skin from drying out. During the cold season, it is best to choose a long-lasting moisturizer that will work in cold conditions.
  3. Avoid Hot Water: Many people use very hot water to bathe during the cold season. However, hot water can lead to skin dryness. It is better to reduce the use of hot water and wash your skin with warm or cool water instead.
  4. Use a Humidifier: In the cold season, indoor air can become dry, which further contributes to skin dryness. Using a humidifier helps to add moisture to the air, which helps keep the skin from becoming dry.
  5. Take Care of Your Clothing: Cold-weather clothing such as coats, scarves, and gloves are very important. They help protect the skin from cold air that can cause further dryness. Also, make sure that your clothing is comfortable and does not irritate your skin or cause additional dryness.
  6. Apply Oils and Skin Care Products: If your skin begins to feel extra dry or unhealthy, you can apply oil or lotion that will reduce roughness and soothe your skin.
  7. Avoid Using Harsh Soap: Harsh soaps can dry out the skin, so it is better to use mild soap or soap that does not strip moisture from the skin.
  8. Eat Foods Rich in Vegetables and Skin Oils: Foods rich in vitamins A, C, and E help maintain skin health during the cold season. Vegetables, nuts, and olive oil help repair the skin and keep it soft.Through following the above steps, you can take care of your skin during the cold season and ensure that your skin remains healthy, soft, and well-hydrated.

Why men’s health awareness matters

By Lawal Dahiru Mamman,

On November 6, 2024, the World Health Organisation (WHO) used its public WhatsApp channel to broadcast an important message: “November, or Movember, is Men’s Health Month.”

This month and in the future, men are invited to grow moustaches to promote awareness and initiate discussions about health topics such as prostate cancer, testicular cancer, and mental health. Let’s move from discussion to action!

The message continued, “Women have a role to play, too! Encourage and support the men in your life to take the steps needed to improve their health.” It then provided a web link for more details.

Inspired by this call to action, there was a strong urge to investigate and bring to light diseases peculiar to men. However, a quieter voice suggested pausing to observe the media landscape and assess the awareness campaigns and engagement level.

As November progressed, it became apparent that despite the importance of men’s health, the subject was overshadowed by other significant events, such as World Diabetes Day (November 14), Cervical Cancer Elimination Day (November 17), World Toilet Day (November 19), and Anti-Microbial Resistance Awareness Week (November 18–24).

Men’s Health Awareness Month aims to encourage men to talk about their health and seek support when needed. It focuses on issues like prostate cancer, testicular cancer, mental health challenges, and suicide prevention.

Bringing the conversation closer to home, men are disproportionately affected by heart disease, cancer, and mental health issues, yet many adopt a “stiff upper lip” mentality, often choosing to endure symptoms rather than seek help. 

This reluctance is alarming. Globally, men die an average of 4.5 years earlier than women, with 86% of these deaths attributed to non-communicable diseases and injuries, according to a 2019 WHO study.

Prostate cancer remains a significant health concern worldwide, with over 1.4 million cases diagnosed in 2020 and an age-standardized incidence rate (ASIR) of 30.7 per 100,000 males. In Nigeria, it is the most common cancer among men, accounting for 11–15.1% of all male cancers. 

Between 2009 and 2016, data from 15 cancer registries in Nigeria recorded 4,091 cases, with 80% deemed incurable at diagnosis. This underscores the lack of investment in men’s healthcare.

Mental health is another area plagued by harmful stereotypes and societal expectations. An estimated 40 to 60 million Nigerians suffer from various mental health disorders. The country ranks fifth globally in suicide rates, with about 15,000 cases per 100,000 people. 

For men, societal pressures to fulfil financial and family responsibilities exacerbate their mental health struggles. Failure to meet these expectations often earns them harsh labels like “irresponsible,” further driving depression.

On the cardiovascular front, heart diseases, high blood pressure, and strokes remain the leading causes of death among men. Occupational hazards also contribute significantly to premature deaths, while lifestyle choices such as smoking, poor diets, alcohol consumption, and exposure to interpersonal violence increase health risks.

Risk-taking behaviours and the underutilisation of healthcare services compound men’s health issues, which are consistent across many countries. These trends highlight the importance of leveraging platforms like Men’s Health Month to challenge societal norms and encourage proactive health management.

David Samadi, a world-renowned urologist and prostate cancer expert, aptly observed that “Men’s health is not just about physical health, but also about mental and emotional wellbeing.” His words emphasise that men’s health has far-reaching consequences, affecting individuals, their families, and communities.

Although this year’s Men’s Health Awareness Month has ended, the mission does not stop here. Instead, it should mark the beginning of sustained efforts to keep the conversation alive, promote healthy living, and drive awareness year-round.

This is an urgent appeal to individuals, organisations, and policymakers to prioritise men’s health issues and foster environments that encourage men to seek help without fear of stigma or judgment. Together, we can ensure that men’s health receives the attention it deserves.

Lawal Dahiru Mamman writes from Abuja and can be reached at dahirulawal90@gmail.com.

ATBUTH e-Health: Revolutionizing healthcare delivery

By Usman Abdullahi Koli 

The Nigerian healthcare system has long faced challenges that make accessing quality care difficult, especially for the average citizen. Many patients have endured unnecessary struggles during critical moments, from long queues at registration units to delays in retrieving medical records. Tragically, these inefficiencies have, in some cases, led to preventable losses—not just because of late arrivals at hospitals but also due to prolonged registration and file retrieval processes.

Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) Bauchi has boldly changed this narrative. Staying true to its vision and mission, the hospital has introduced an innovative e-health system to alleviate these issues. This transformation goes beyond addressing immediate challenges—it sets ATBUTH on a path to becoming a leader in modern, patient-focused healthcare in Nigeria.

ATBUTH has been a symbol of hope for years, offering quality healthcare to countless patients while continuously striving to improve its services. Recognizing the growing needs of modern healthcare, the hospital has embraced advanced digital solutions to revolutionize how it delivers care.

Adopting an Electronic Medical Records (EMR) system, seamlessly integrated with the eCMDS platform, reflects ATBUTH’s commitment to progress and patient well-being. This transformative step simplifies operations, improves administrative processes, and creates a more compassionate, patient-centred experience for everyone who walks through its doors.

The introduction of e-health at ATBUTH also aligns with a Federal Government policy to digitize public services. This initiative aligns with global trends, ensuring healthcare services are faster, safer, and easier to access. Digitizing patient records, registration, billing, and laboratory results drastically reduces waiting times and makes every interaction smoother.

The EMR system protects patient data from being lost or tampered with, while automated processes close gaps that could lead to fraud or revenue loss. Furthermore, the centralized database enables researchers to access accurate, real-time information, fostering medical advancements. This leap into digitization firmly establishes ATBUTH as a forward-thinking institution ready to stand shoulder-to-shoulder with leading hospitals in Nigeria and beyond.

Although the implementation of the e-health system has been highly successful, challenges still exist. One of the most pressing issues is network reliability, which can sometimes be unpredictable. However, the hospital’s management is actively working to resolve these issues permanently to ensure uninterrupted services. Unfortunately, specific individuals have also attempted to undermine this initiative by spreading misinformation and discouraging public trust. Such actions disrupt progress and risk undoing the remarkable strides ATBUTH has made in improving healthcare delivery.

Everyone must understand that progress is a journey that moves forward, not backwards. For ATBUTH to maintain its momentum as a leader in healthcare innovation, it needs the collective support of patients, staff, and the public. Adopting the e-health system is not just about modernizing healthcare—it’s about making services more accessible, efficient, and humane.

Despite being a relatively young institution, ATBUTH has achieved remarkable feats rivalling even the country’s most established hospitals. This e-health initiative is a testament to the hospital’s determination to excel and better serve its community.

ATBUTH’s e-health system is more than just a technological upgrade—it is a lifeline for thousands of patients who rely on the hospital for their care. As this digital transformation continues to evolve, the public must embrace and support it wholeheartedly. Together, we can ensure ATBUTH remains a trusted name in healthcare and a symbol of progress in Nigeria’s health sector.

Usman Abdullahi Koli writes from Bauchi.

Talking about access to quality healthcare for some Nigerians


By Usman Muhammad Salihu

Access to quality healthcare remains a pressing issue in Nigeria, particularly for the millions living in rural areas. Despite various initiatives to improve healthcare delivery, rural communities continue to face significant barriers, resulting in poor health outcomes and deepening inequalities in the healthcare system. 

These challenges underscore the urgent need for targeted interventions to bridge the gap between urban and rural healthcare access. One of the most significant challenges rural communities face is geographical isolation. Many villages and settlements are far from urban centres where most healthcare facilities are concentrated. 

The distance to the nearest hospital or clinic can sometimes span hundreds of kilometres, making timely access to care nearly impossible for many rural residents. This problem is exacerbated during medical emergencies, where every second counts, yet patients must endure long and arduous journeys before reaching medical help.

A chronic lack of healthcare infrastructure plagues Nigeria’s rural areas. Many villages do not have hospitals or clinics; even where facilities exist, they are often under-resourced. Shortages of essential medical supplies, equipment, and trained personnel are common, making providing even basic healthcare services difficult. 

According to a report by the World Health Organization (WHO), Nigeria needs to increase the number of healthcare workers and facilities to meet the growing demands of its population, particularly in underserved rural areas. Poor transportation systems further compound the challenges of accessing healthcare in rural Nigeria. 

The lack of reliable road networks, especially during the rainy season, leaves many rural areas cut off from healthcare services. Sometimes, patients must travel on foot or rely on motorcycles, which may not be suitable for critically ill individuals. 

The absence of affordable public transport options also limits the ability of rural residents to seek medical care, particularly for routine check-ups or preventive healthcare. Financial hardship is another significant barrier. Many rural residents are subsistence farmers or engage in informal sector jobs with little to no stable income. 

As a result, they often cannot afford healthcare services, especially when these are not subsidised. Even when free services are available, hidden costs such as transportation, medication, and unofficial fees can deter people from seeking care.

Cultural beliefs and language differences present additional hurdles for rural communities. In some areas, traditional medicine is preferred over modern healthcare, leading to delays in seeking professional medical attention. Furthermore, healthcare providers unfamiliar with local languages and cultural practices may struggle to communicate effectively with patients, resulting in misunderstandings and mistrust.

The challenges of accessing healthcare in rural areas have far-reaching consequences. One of the most alarming is poor health outcomes, including higher rates of maternal and infant mortality. According to UNICEF, Nigeria accounts for a significant proportion of global maternal deaths, with rural women disproportionately affected due to a lack of access to skilled birth attendants and emergency obstetric care.

Delayed treatment is another critical issue. The inability to access healthcare promptly often leads to the progression of diseases to more severe stages, reducing the chances of successful treatment. For example, conditions like hypertension or diabetes, which can be managed with early intervention, often go undiagnosed and untreated in rural areas, leading to life-threatening complications.

Additionally, the economic burden of healthcare is devastating for rural households. The cost of treatment can deplete a family’s savings, forcing them to sell assets or take on debt. This cycle of poverty further entrenches the disparities between urban and rural populations.

Addressing these challenges requires a multi-pronged approach. Governments and stakeholders must prioritise investment in rural healthcare infrastructure. Building and equipping clinics and hospitals in underserved areas is critical to reducing the geographical barriers rural communities face. Additionally, mobile clinics and telemedicine programs can bring healthcare services closer to people who live in remote locations.

Community-based healthcare programs are another effective solution. Training and deploying community health workers to provide essential services such as immunisations, maternal care, and health education can significantly improve health outcomes. These workers can serve as rural residents’ first point of contact, offering accessible and culturally appropriate care.

Financial support for rural residents is equally important. Subsidising healthcare costs through insurance schemes or direct financial aid can ensure that rural populations can afford essential services without economic hardship. The government’s National Health Insurance Scheme (NHIS) should be expanded and tailored to adequately cover rural residents.

Finally, addressing cultural and language barriers is essential for fostering trust between healthcare providers and rural communities. Training healthcare workers in cultural sensitivity and local languages can improve communication and encourage more people to seek care. Public health campaigns should also engage community leaders and use culturally relevant messaging to promote modern healthcare practices.

To conclude, the healthcare challenges in rural Nigeria are deeply rooted in geographical, infrastructural, financial, and cultural issues. However, these challenges are not insurmountable. 

Nigeria can take significant steps toward achieving equitable healthcare access for all its citizens by investing in rural healthcare infrastructure, implementing community-based programs, providing financial support, and addressing cultural barriers. Ensuring that no one is left behind in the quest for quality healthcare is a moral imperative and a necessary foundation for the nation’s development and prosperity.

Usman Muhammad Salihu was among the pioneer cohorts of the PRNigeria Young Communication Fellowship and wrote in from Jos via muhammadu5363@gmail.com.