Lifestyle

By Mujahid Nasir Hussain

Every human brain tells a story: of love, memory, and motion. Yet, for many Nigerians, these stories are being erased silently by diseases that steal what it means to be human. Alzheimer’s disease, Amyotrophic lateral sclerosis (ALS), Parkinson’s disease, and other neurodegenerative disorders are creeping into our society, affecting not only the elderly but, increasingly, middle-aged adults as well. Their signs often begin subtly: a forgotten name, a misplaced key, and a trembling hand, until the symptoms grow into something that shatters families and identities alike.

I am writing this piece after World Mental Health Day (October 10) to raise awareness about these devastating but often misunderstood brain disorders, and to emphasise why Nigeria must invest in research that explores the molecular roots of neurodegeneration. Behind every fading memory is a biological story waiting to be told; one that may hold the key to prevention, treatment, and hope.

Globally, neurodegenerative diseases are among the fastest-growing causes of disability and death. According to the World Health Organisation, over 55 million people currently live with dementia, and nearly 10 million new cases are recorded each year. Alzheimer’s disease accounts for about 60–70% of these cases. The burden is not only medical but also social and economic, as families face the heartache of caring for loved ones who may no longer recognise them.

In Africa, the crisis is quietly intensifying. A report by Alzheimer’s disease International estimates that by 2050, over 12 million Africans could be living with dementia, a staggering increase that health systems are unprepared for. In Nigeria, accurate statistics are scarce, but hospital reports and community surveys show a growing number of undiagnosed neurodegenerative cases among the elderly. Unfortunately, in many communities, symptoms of neurodegeneration are still seen through the lens of superstition. Some families attribute forgetfulness to witchcraft or punishment from the gods. As a result, patients are hidden away, untreated, and stigmatised, even when medical help could improve their quality of life.

But beyond the surface symptoms lies a world of molecular complexity. In every neuron, RNA and proteins work together in precise harmony, regulating gene expression and cell responses to stress. These molecules form small, dynamic structures known as RNA–protein assemblies that constantly change shape and function in response to the brain’s needs. When this spatio-temporal regulation is disrupted, the way these structures behave across time and space is disrupted, it can cause proteins to misfold and clump together. These toxic clumps interfere with brain cell function, triggering the gradual degeneration that characterises diseases like Alzheimer’s and Parkinson’s. Think of it like a city whose garbage collectors suddenly go on strike. Waste piles up, streets become impassable, and normal life grinds to a halt. That’s what happens inside the brain when these molecular systems fail. The result is memory loss, confusion, speech problems, tremors, and ultimately, the loss of independence.

Sadly, this understanding of disease mechanisms has not yet translated into practical awareness or local solutions in Nigeria. Our health sector remains focused on infectious diseases like malaria, tuberculosis, and HIV, which are undeniably urgent but overshadow chronic illnesses that also deserve attention. Neurodegenerative conditions receive very little research funding, and only a handful of Nigerian universities have well-equipped neuroscience or molecular biology laboratories. This lack of infrastructure makes it difficult for scientists to explore how environmental, nutritional, and genetic factors specific to African populations contribute to neurodegeneration.

We cannot afford to ignore this any longer. With Nigeria’s population ageing rapidly, the number of people at risk of dementia will rise sharply in the next decade. Families and caregivers already face immense emotional and financial strain. A 2023 study published in Frontiers in Public Health noted that dementia caregiving in Africa often leads to burnout, poverty, and social isolation, especially among women who bear most of the burden. This is more than a medical issue; it is a public health and human rights concern.

Raising awareness is the first step. Nigerians need to understand that persistent memory loss, tremors, or difficulty performing everyday tasks are not normal parts of ageing. They may signal conditions that require medical attention. Community health workers should be trained to identify these early signs, and hospitals should include basic neurological screening as part of routine check-ups for older adults.

The second step is research. As a physiologist, I believe that Nigeria’s greatest untapped potential lies in our young scientists and natural resources. There is growing evidence that certain plant-derived compounds, including those found in Habbatus Sauda (black seed) and other indigenous herbs, have neuroprotective properties. Exploring how these natural products influence RNA–protein interactions could open pathways to affordable treatments tailored to our local context. If supported, Nigerian research could not only advance understanding but also drive innovation in neurodegenerative disease therapy.

Finally, there is the matter of policy. The Nigerian government and health agencies must recognise brain health as a national priority. We need a National Brain Health Initiative, one that funds research, trains neurologists, supports caregivers, and integrates neuroscience into medical education. Just as we have campaigns for malaria and maternal health, we should have campaign awareness for dementia, Parkinson’s, and other neurodegenerative diseases. Without deliberate action, the human and economic costs will be overwhelming in the coming decades.

Our brains define who we are. To lose them is to lose ourselves, and yet millions are slipping away unnoticed. This World Mental Health Day, let us broaden the conversation beyond depression and anxiety to include the silent epidemic of neurodegenerative diseases. Let us replace stigma with understanding, neglect with action, and fear with hope. Nigeria must awaken to this reality — that the future of our nation depends not only on the health of our hearts and bodies but also on the preservation of our minds.

Mujahid Nasir Hussain is a physiologist and an explorative researcher in biomedical sciences with a particular focus on Molecular mechanisms underlying neurodegenerative disorders.

By Abdullahi Adamu

Poor health facilities in Nigeria stem from severe underfunding, causing inadequate infrastructure, outdated equipment, drug shortages, and breakdowns in essential services like electricity and clean water. This affects rural and primary healthcare centres most, where facilities are dilapidated and staff insufficient. A shortage of medical professionals and brain drain overloads the system, leading to increased medical tourism and poor outcomes. Healthcare access is severely limited due to various systemic factors. 

Misconceptions about primary health care and poor leadership have hindered the health system, which hasn’t aligned its structures to achieve universal health access. Improving financial access alone won’t suffice without comprehensive primary health care reform to fix system flaws, deliver quality, efficient, acceptable care, and ensure sustainability and growth for the health system and country. A primary health care movement of government health professionals, the diaspora, and stakeholders is needed to drive this change and overcome political inertia.

In 2014, the National Health Act established the Basic Health Care Provision Fund (BHCPF) to address funding gaps hampering effective primary healthcare delivery across the country. The BHCPF comprises 1% of the federal government Consolidated Revenue Fund (CRF) and additional contributions from other funding sources. It is designed to support the effective delivery of Primary Healthcare services, provision of a Basic Minimum Package of Health Services (BMPHS), and Emergency Medical Treatment (EMT) to all Nigerians.

Despite the provisions of the BHCPF, the report’s findings expose the precarious state of healthcare in Nigeria, where access to and utilisation of health services remain marred by systemic challenges across states.

Public health facilities in all 36 states and the FCT are deficient, and the experiences of community members seeking care at these facilities are consistently awful.

Primary Health Care (PHC) is the foundation of the healthcare system in Nigeria and serves as the level at which non-emergency, preventive health issues are addressed. But sadly, many PHC centres in the FCT are poorly equipped and lack well-trained personnel.

 Kulo PHC was built with solid infrastructure and equipped with solar panels as part of a 2019 federal initiative aimed at strengthening primary care in hard-to-reach areas. Today, that promise lies in ruins. The solar panels are now dysfunctional—some stolen, others damaged by harsh weather and lack of maintenance. At night, the clinic plunges into darkness, leaving staff to work by torchlight or with dying cell phone batteries.

Three patients on life support at Aminu Kano Teaching Hospital were reported dead following an interruption to the hospital’s electricity supply by Kano Electricity Distribution Company.

The basic causes of Nigeria’s deteriorating health care system are the country’s weak governance structures and operational inefficiencies.

In 2014, the National Health Act established the Basic Health Care Provision Fund (BHCPF) to address funding gaps hampering effective primary healthcare delivery across the country. The BHCPF comprises 1% of the federal government Consolidated Revenue Fund (CRF) and additional contributions from other funding sources. It is designed to support the effective delivery of Primary Healthcare services, provision of a Basic Minimum Package of Health Services (BMPHS), and Emergency Medical Treatment (EMT) to all Nigerians.

Despite the provisions of the BHCPF, the report’s findings expose the precarious state of healthcare in Nigeria, where access to and utilisation of health services remain marred by systemic challenges across states.

Public health facilities in all 36 states and the FCT are deficient, and the experiences of community members seeking care at these facilities are consistently awful.

The Basic Health Care Provision Fund (BHCPF) was poorly implemented in 13 states.

The basic causes of Nigeria’s deteriorating health care system are the country’s weak governance structures and operational inefficiencies

Abdullahi Adamu wrote via nasabooyoyo@gmail.com. 

By Hauwa Mohammed Sani, PhD

I thought I was making a simple, kind gesture—choosing an older gentleman’s cab late one night after a long flight. I figured it would be an easy ride. What unfolded next wasn’t just a navigation problem; it was a bizarre, real-time collision between the old way of the world and the new, AI-driven one. This true story of a taxi ride truly happened to me last week.

​It was late, the kind of late where the airport lights look sickly and the air is thick with fatigue. I needed a ride. Looking over the line of sleek, modern taxis, my eye landed on one driven by an old man—a true gentleman of the road, old enough to be my own grandfather. A small surge of pity, mixed with a desire to give him the fare, made me choose him. Little did I know, I wasn’t just hopping into a cab; I was walking into a generational drama.

​The man knew the general area of my destination, but finding the exact estate became an odyssey. We drove, we turned, we asked passersby—a frantic, real-world search in a fog of darkness and street names. Frustrated, I reviewed the apartment information on my phone and saw a contact number within the address details. I called it.

​The voice on the other end was bright and American. “Oh, that’s my apartment, but I live in the U.S.,” she cheerfully informed me. “I’ll have someone call you.”

​True to her word, a local contact called back. “I’ve sent you the location,” she said. “Just Google it.”

​And there was the rub. My driver—a man whose mind held a living map of the city’s every alley and backstreet—and I, a modern traveller, stared at each other. Neither of us was familiar with using Google Maps.

​The poor old man was desperate. “What are the landmarks? Describe the building!” he pleaded into the night air. The girl on the phone, however, was stubbornly one-dimensional: “Just follow the GPS. Google the location.”

​That’s when it hit us both. In that moment, the taxi cab became a time capsule. Here were two people operating on landmarks, intuition, and human description, battling against an AI generation that has completely outsourced its sense of direction. Simple communication—a left at the bakery, a right past the big tree—was utterly lost.

​The driver was absolutely fuming. He kept grumbling, “Where is our sense of reasoning? They’re being machine is programming them!” To him, this reliance on tech wasn’t progress; it was the crippling of a fundamental human skill. He saw creativity and simple reason dying, replaced by a glowing screen that gives an answer but can’t hold a conversation.

​We eventually found the place, not by Google, but by a final, desperate, human description from a local. But the lesson lingered: Technology is fantastic, but sometimes, when it replaces basic common sense, it really can feel useless. We need to remember how to read the world, not just the map.

The Climax: The Race for the Flight

The next day, it was time for my return. The old man—who I now affectionately called Papa—had promised to pick me up. He came, but he was late. I kept calling, reminding him of my flight and the town’s busy roads. He assured me we would take an “outskirt” route with no traffic.

We found otherwise.

The clock was racing, and the roads were choked. In his confusion, the poor man even pulled into a station to buy fuel, a detour that felt catastrophic. But the beautiful part? He kept accepting his mistakes. He was frantic, not defensive. We kept running against the clock, fueled by mutual anxiety.

By the time we reached the terminal, the counter was closed.

“Hajiya,” he said, using the Hausa honorific reserved for me, the Yoruba man’s passenger. “Don’t worry about the fare. Just run. Run and make your flight first.”

I rushed in and had to beg the counter staff to issue my ticket. I became the last passenger on the flight, all thanks to a desperate sprint.

The Unbreakable Trust

A display of profound, inter-tribal trust eclipsed that moment of panic. Here was Papa, a Yoruba man, sending off Hajiya, a Hausa woman, without a dime for his service, instructing me not to worry about payment until I was safely at my destination.

He kept calling me after I took off, checking on my travel and praying I made my connection. Not once did he mention money.

It wasn’t until I reached out and said, “Papa, please send me your account details,” that the drama of the day resumed (as expected, getting that detail was another adventure!). But in the long run, I paid Baba a generous amount—one he met with a flood of heartfelt prayers for my future.

This journey, from a confusing GPS battle to a race against the clock, taught me the most significant lesson: amidst all the conflict and generational friction, there is still peace and trust in connection. 

As I work on our research for the University of Essex London on conflict resolution and prepare for my ‘Build Peace’ conference in Barcelona, I realise that sometimes the greatest examples of peace aren’t in treaties, but in a simple promise between a Yoruba taxi driver and his Hausa passenger.

Hauwa Mohammed Sani, PhD, teaches at the Department of English and Literary Studies, Ahmadu Bello University, Zaria.

By Khadijat Abdulrasheed

A short play on Peer Pressure, Courage, Confidence, and Modesty.

CHARACTERS:

 1. Amina: Hijabi girl, shy but spiritually strong. Calm and polite.

 2. Toke: Trendy, confident girl who loves teasing others. Loud and playful.

 3. Zee: A follower. Often supports Toke but watches and thinks deeply.

 4. Teacher Fatima: A teacher who is Kind, firm, and respected.

SCENE 1: School Corridor (After Break)

[The school bell rings. Students return from break. Some are laughing, others are walking in groups. Amina walks in quietly, her hijab well-arranged. Toke and Zee stroll in together, looking fashionable.]

TOKE

(laughing loudly)

Ha! See our aunty again. Amina, the hijab ambassador! You no dey ever gree show small swag?

ZEE

Her own swag na hijab and long skirt. Babe, this is 2025 o, not 1925!

TOKE

(pretending to whisper)

Na only God go help her. Fashion don pass her by.

AMINA

At least I cover myself the way Allah wants. That’s my absolute confidence.

TOKE

Confidence ke? You dey hide beauty under a scarf. If I get your fine face, I go use am blow on IG! You go just dey hear likes everywhere.

AMINA

But if beauty is only for likes… what happens when you lose followers?

ZEE

She get point o.

TOKE

Abeg joor. I no get time for all this hijabi wisdom. Let’s go jare.

[Toke and Zee walk off. Amina walks the other way with a peaceful look.]

SCENE 2: Classroom, Next Day

[Students are chatting. Teacher Fatima walks in. The class becomes quiet.]

TEACHER FATIMA

Good morning, class.

STUDENTS

Good morning, ma.

TEACHER FATIMA

Today, I want to talk to you about something important, which is Dignity in Modesty.

(She pauses)

Modesty is not weakness. It’s not for the old. It’s not backwardness.

It is honour and it is strength. Prophet Muhammad (SAW) said Modesty is part of faith.

Even when people laugh at you… be like Maryam (AS). She was mocked, but she remained pure and firm.

We dress modestly, not because we are ashamed of our beauty but because we are grateful for it.

[Amina listens with a soft smile. Toke shifts uncomfortably. Zee watches them both.]

SCENE 3: Corridor After Class

[The students come out. Amina is by her locker. Toke hesitates, then walks up to her.]

TOKE

Uhm… Amina.

AMINA

(looks up, smiling)

Yes?

TOKE

About yesterday… I was just catching cruise, but… You really dey try sha.

AMINA

It’s not me. It is Allah who gives strength.

TOKE

(chuckles)

I wish I could get your kind courage. Me, I dey fear people’s opinion die.

AMINA

You can ask Allah for strength, too. He listens.

ZEE

Maybe courage is not about talking loudly. It may be about standing firm.

[They all walk off slowly. Peaceful music fades in.]

SCENE 4: Two Weeks Later, School Debate Competition

[The school is holding a debate. Topic: “True Confidence From Appearance or Inner Values?” Amina and Toke are in the same group. The hall is packed. Teacher Fatima is in the audience.]

TOKE

(nervously looking at Amina)

I have never joined anything like this before.

AMINA

You will do well. Just speak the truth from your heart.

[Toke steps up, clearing her throat. She speaks slowly.]

TOKE

Before, I thought confidence was how you walk, dress, and trend online.

But I met someone who never followed the crowd… yet she stands taller than all of us. She wears her scarf with pride… and doesn’t need to shout to be heard.

That kind of confidence…

Comes from knowing who you are, not who people want you to be.

[The audience claps. Amina looks down shyly. Zee claps too, smiling proudly.]

SCENE 5: Corridor, After School

[Toke, Amina, and Zee walk together. Toke now wears a scarf, not a full hijab, but modest.]

ZEE

Wonders shall never end. Our slay queen don join hijab squad.

TOKE

(laughs)

But honestly, I feel freer and more comfortable.

AMINA

That’s because obedience to Allah removes the burden of impressing people.

ZEE

And between peer pressure and modesty… I think we know who really won.

TOKE

Modesty won because it gave me peace. Not pressure.

[Teacher Fatima walks by slowly and overhears. She stops and smiles.]

TEACHER FATIMA

When a heart chooses Allah over people, that heart has already won.

(she looks at them all)

May Allah keep your steps firm. Always.

ALL THREE GIRLS

Ameen.

[They walk off together, smiling. This time, not as different girls, but as sisters.]

✨ THE END

MORAL MESSAGE:

Modesty is not a cage. It is not something that locks you away or hides your beauty in shame. It is an honour, a beautiful shield that protects your dignity, your heart and your purpose. It is a quiet strength that says, I know my worth and I choose to honour it the way my Creator wants. True confidence is not found in the approval of the crowd, not in likes, not in views, and not in trends. Crowds change, opinions shift, but Allah’s pleasure never changes. When He is pleased with you, that is the highest success. Peer pressure is loud, it laughs, it whispers, and it tries to make you feel small for not joining the crowd. But modesty doesn’t need to shout. It walks calmly through the noise, stands firm, and in the end… it lasts longer.

By Halima Abdulsalam Muhd

For decades, many Nigerian communities benefited from a rigorous weekly sanitation exercise led by duba gari or community health monitors who inspected homes and surroundings for hygiene compliance. These dedicated individuals went from house to house, checking toilets, kitchens, bedrooms, and waste disposal areas. Offenders were fined ₦50, a penalty that not only discouraged negligence but also ensured that communities maintained high sanitation standards.

Today, however, that once-vibrant practice has largely disappeared, leaving neighbourhoods grappling with mounting sanitation challenges, from blocked drainage to increased cases of cholera and malaria. Residents and experts alike are calling for the revival of this community-driven initiative.

Voices from the Community

Malama Hadiza Musa, a trader in Naibawa, recalled how effective the system used to be. “When the duba gari came every week, we had no choice but to clean up. Everywhere was tidy, even the backyards. Now, people dump refuse carelessly, and it is affecting all of us,” she lamented.

Mr Aliyu Garba, a retired civil servant, shared similar sentiments, “Back then, sanitation was part of our lives. Today, gutters are clogged, and mosquitoes breed everywhere. We need to bring back that system before things get worse.”

For Zainab Abdullahi, a mother of four, the absence of weekly inspections has created health concerns for families. Children now play around in dirty environments. If sanitation checks were still happening, parents would take cleaning more seriously.”

Community leader Malam Ibrahim Tukur believes the fines encouraged responsibility, “₦50 may look small today, but it carried weight at that time. It wasn’t about the money—it was about discipline. People feared being fined, so they kept their homes clean.”

Meanwhile, younger residents like Suleiman Adamu, a university student, argue that modern approaches should complement the old system, “We can bring it back, but alongside awareness campaigns and community waste management systems. Punishment alone may not be enough.”

Expert Perspectives

Environmental experts warn that abandoning structured sanitation monitoring has far-reaching effects.

Dr Fatima Yakubu, an environmental health specialist, emphasised the connection between sanitation and public health: “Poor sanitation directly contributes to outbreaks of cholera, typhoid, and malaria. Weekly inspections used to act as preventive measures. Reviving them could save lives and reduce health costs.”

Similarly, Prof. Emmanuel Okafor, an environmental scientist at Ahmadu Bello University, stressed the economic implications, “Communities spend more on healthcare when sanitation breaks down. By reinstating duba gari inspections, we are not just promoting cleanliness—we are reducing disease burden and increasing productivity.”

The Way Forward

Local governments, community associations, and traditional rulers are being urged to reintroduce house-to-house sanitation, perhaps updating the fines to reflect current realities while also integrating modern waste management solutions.

As Mrs Aisha Danladi, a public health advocate, put it, “We need a collective effort. The duba gari system worked before; it can work again. Our health and environment depend on it.”

Halima Abdulsalam wrote from Bayero University, Kano, via haleemahm42@gmail.com.

By Uzair Adam

The Kano State Government has expanded its hypertension prevention and treatment services to 208 Primary Health Care (PHC) facilities across the 44 local government areas of the state, according to the Ministry of Health.

The initiative, which builds on an earlier pilot phase, was launched under the administration of Governor Abba Kabir Yusuf to strengthen early detection and management of hypertension — a leading cause of heart disease, stroke, and premature deaths in Nigeria.

In a statement issued on Saturday, the Public Relations Officer of the Ministry, Nabilusi Abubakar K/Na’isa, said the expansion followed the successful implementation of the programme in 52 PHCs under the National Hypertension Control Initiative (NHCI).

He explained that the initiative, with technical support from Resolve to Save Lives and Project HOPE, has now been scaled up to 208 facilities to ensure more residents have access to regular blood pressure checks, treatment, and follow-up care within their communities.

Quoting the Commissioner for Health, Dr. Abubakar Labaran Yusuf, the statement noted that the government’s decision reflects its commitment to strengthening the primary healthcare system and addressing non-communicable diseases across the state.

Dr. Yusuf commended the dedication of health workers participating in the programme and urged them to sustain their efforts to ensure lasting success in hypertension prevention and control.

“The scale-up of hypertension services across 208 PHCs demonstrates Kano’s leadership in improving access to essential care. This should serve as a model for other states in advancing equitable and sustainable health services,” the commissioner said.

The Ministry expressed optimism that the initiative will help prevent costly complications, reduce hospital admissions, and promote healthier, more productive lives for Kano residents.

By Oladoja M.O

There’s a video, “Why did Mrs X die?” that is very popular in the public health sphere. At first, the video seemed like the tale of one woman, faceless, nameless, known only by a letter. But the more I analyse and reflect on it, the more it has dawned on me that Mrs X was never just one person. She was and still is the embodiment of Nigeria’s healthcare story. Her death was not a singular tragedy, but a parable. A mirror held up to a nation’s bleeding system.

Mrs X died, not simply because of childbirth complications, but because everything that could have worked didn’t. Everything that should have stood for her failed her. Her death was not a moment; it was a long, silent, accepted process. In her story, there was the collapse of planning, access, and empathy. She died from a slow national rot that had found flesh in her body.

The story of Mrs X began not with the bleeding, but with the absence of preventive orientation that characterises the experience of many Nigerian pregnant women. She went through pregnancy the way most Nigerians face illness, hoping it would not demand too much. She never considered going for checkups, not because she was reckless, but because the culture of prevention was never truly instilled in her.

In a society where survival itself is a daily hustle, prevention often feels like a luxury. There was a health facility, yes, but it was far, tired, and overstretched. The system had blood, but not enough. Staff, but overworked. Beds, but unclean. And behind it all were the silences of policymakers, the rust of forgotten community health centres, and the dust on abandoned government project files. So, when she finally needed help, it was already too late to start looking. 

That story, the scramble at the end, is too familiar. We see it in Ekiti, Katsina, Owerri, and Makurdi. Patients running from one hospital to the next, files in hand, hope on lips, only to be turned back by bureaucracy, distance, or a quiet “we have no space.”

But beyond the infrastructure and logistics, Mrs X bore the weight of something heavier: culture. She was told, directly and indirectly, that her place was to endure. To cook. To clean. To birth. Her pain was duty. Her tiredness was weakness. To seek help was indulgent. So, she bore her cross in silence. Culture had taught her that a good woman asks for little, demands nothing, and dies quietly.

Gender inequality was not just in her home; it was in the policy rooms that never included her voice. It was in budgets that prioritised politics over health. It was in the subtle shrug of indifference that attends women’s complaints in clinics, especially poor women in rural areas. Her being female had already placed her lower on the ladder.

But perhaps what haunts me most is how everything seemed normal until someone opened the files. That day, long after she had gone, someone went back to the data room and began to look. Patterns emerged. Cases connected. Questions rose. “How many more like her?” they asked. “Could we have seen this coming?” It was research that awakened conscience. Data that pulled the curtain back. And isn’t that Nigeria’s truest shame that we often act only after counting the dead?

Mrs. X, for all her anonymity, is Nigeria. She is our health system in human form: underserved, overburdened, overlooked. Her blood loss is our policy hemorrhage. Her silence is our governance gap. Her death is our diagnosis.

It’s easy to talk about reforms. There have been many. Policies, papers, pilot schemes. But for every speech made in air-conditioned halls, there’s a Mrs X still sitting miles from care, still unsure if help will come. Nigeria does not lack ideas. It lacks continuity. It lacks compassion in implementation. It lacks the urgency that comes when you see the system as your own mother, your own sister, your own unborn child. We must stop planning in the abstract. We must stop building for applause and start building for impact. 

Health must become a right, not a privilege wrapped in bureaucracy. We must fund primary health care not as a checkbox but as a foundation. We must decentralize emergency care so that help is never more than a few kilometers away. We must invest not only in infrastructure but in mindsets, teaching every citizen that prevention is not a scam, and that seeking help is not weakness.

And crucially, we must disaggregate our data and listen to it. Research must not be something we dust off only when we need donor funds. It must be lived, continuous, grounded in our local realities. Because without data, we’re only guessing in the dark, while more Mrs. Xs are buried under statistics that came too late.

So, no, the story of Mrs X is really not about maternal mortality. It is about us. All of us. It is the story of a system that watches a woman bleed and scrambles for gauze. That waits until the final breath before asking the first question. That blames culture, then feeds it. That builds hospitals without building access. That speaks to the importance of health equity while communities barter herbs in silence. I saw Mrs X die. But more than that, I saw Nigeria in her eyes; tired, forgotten, hoping someone would care enough to fix what’s broken. 

Maybe, just maybe, if we learn to listen to her story, we won’t need another parable. Maybe her death won’t be in vain.

Oladoja M.O writes from Abuja and can be reached at: mayokunmark@gmail.com.

By Bashir Abubakar Umar 

Malaria remains one of the world’s most persistent public health challenges, particularly in tropical and subtropical regions. To gather more information about the disease, I contacted Dr Musa Muhammad Bello, who works with Aminu Kano Teaching Hospital (AKTH) in the Department of Community Medicine. It is a life-threatening disease caused by parasites of the Plasmodium genus, transmitted to humans through the bites of infected female Anopheles mosquitoes.

Despite advances in medicine and public health campaigns, malaria continues to claim hundreds of thousands of lives each year, with children under five and pregnant women among the most vulnerable groups.

Infection with Plasmodium falciparum, P. vivax, P. ovale, or P. malariae primarily causes the disease. The infection begins when an infected mosquito bites a person, releasing parasites into the bloodstream. These parasites travel to the liver, where they mature and multiply before re-entering the bloodstream to infect red blood cells.

Malaria is not spread directly from person to person; instead, it requires the mosquito as a vector. However, it can also be transmitted through blood transfusions, organ transplants, or from an infected mother to her child during pregnancy.

Symptoms of malaria typically appear 7 to 10 days after infection. Early signs include fever, chills, headaches, muscle aches, sweating, body weakness, vomiting, diarrhoea, and a change in taste. In severe cases, the disease can lead to anaemia, respiratory distress, organ failure, and even death if left untreated. Diagnosis is usually confirmed through laboratory methods, such as microscopic examination of blood smears or rapid diagnostic tests, which detect malaria antigens in the blood.

Malam Abdurrahman, a resident of Dorayi Babba, said that the mosquitoes used to bite him not only at night, but he also advises the general public to use nets for prevention.

Prevention is the most effective way to reduce malaria cases and deaths. Sleeping under insecticide-treated mosquito nets can significantly reduce the risk of being bitten at night, while indoor residual spraying kills mosquitoes that rest inside homes.

Eliminating stagnant water, clearing drainage systems, using window and door nets, applying body lotion, and fumigation are all measures that help reduce mosquito breeding grounds. In some high-risk regions, preventive antimalarial medication is recommended for vulnerable groups, including pregnant women, children under 5, and foreigners.

Hajiya Rabi’a, a resident of Tudun Yola, said that the mosquitoes prevent her from sleeping at night due to their bites, even when she is in a net.

Treatment for malaria depends on the type of Plasmodium parasite and the severity of the infection. Artemisinin-based combination therapies are currently the most effective treatments for P. falciparum malaria, which is the most dangerous form. Early and proper treatment is essential to prevent severe illness and to help break the cycle of transmission.

The global impact of malaria remains significant. According to the World Health Organisation, Africa accounts for more than 90% of malaria cases and deaths worldwide. Beyond its toll on health, the disease hampers economic development by reducing productivity, increasing healthcare costs, and deepening poverty in affected communities.

Although malaria is both preventable and treatable, it persists due to environmental factors, limited healthcare access, and poverty in many areas. A continuous global effort is essential, combining prevention methods, effective treatment, public education, and ongoing vaccine research. With dedication and coordinated actions, the world can progress towards eradicating malaria and creating healthier, safer communities.

Bashir Abubakar Umar wrote via baabum2002@gmail.com.

By Aisha Musa Auyo

The second story that inspired this reflection is the death of an acquaintance. She was the HR of a company that once offered me a job as an editor. We had exchanged emails, and I went there in person to explain why I couldn’t take up the role. That first visit also turned out to be my last. The company’s owner is a friend, so it was easy to discuss things openly.

After hearing me out, she understood my situation as a young mother. She said she had once been in my shoes and offered some warm advice, assuring me that the company would always welcome me if I were ready in the future. As I was about to leave, she asked about the fragrance I was wearing. She said, “The whole office is filled with your scent. It’s so calming.”

I explained that it wasn’t a regular perfume but Turaren Wuta (incense) and humra. She smiled and said she was familiar with them but had never come across such heavenly scents before. I promised to send her some to try.

It was a casual conversation, but I took it to heart. I packed black and white humra with some incense and gave them to my driver for delivery, as I was travelling at the time. Days turned into weeks, with excuse after excuse from him. When I called her, she said she never got his call, and even if she wasn’t around, he could have left the package at the office.

Back from my trip, I retrieved the parcel and handed it to another driver. Again, excuses. Frustrated, I shared my ordeal with a family member. She dismissed my worry: “You’re overreacting. This woman has probably forgotten about the incense. She doesn’t owe you anything. Why stress yourself over this?”

But deep down, I couldn’t let it go. Something urged me on. I said, “Whatever it takes, I’ll do this delivery myself, I insisted. The family member teased me, calling me stubborn, “Aisha kina da naci wallahi, kin damu kowa a kan abin da ba shi da mahimmanci”. I said na ji. It felt as though everything, including the universe, was determined to stop me from sending that gift.

Finally, when I demanded the second driver return the parcel so I could deliver it personally, he apologised and promised to take it that week. Two days later, she sent me a message, thanking me warmly. She said, “It was worth the wait.” I apologised for the delay, and that was the last time we spoke.

This week, I received the news of her death. She had been battling a heart condition. I remembered how she once mentioned wanting to lose weight for health reasons. My heart sank. I prayed for her soul and felt profoundly grateful that I had managed to give her something she wanted before her passing. Suddenly, I understood why my instincts had been so insistent.

The lesson is clear: never postpone kindness. Please do it now, because tomorrow is never promised.

Aisha Musa Auyo is a doctoral researcher in educational psychology. A wife, a mother, a homemaker, a caterer, a parenting, and a relationship coach. She can be reached via aishamuauyo@live.co.uk.

By Aisha Musa Auyo

When you can be kind and helpful, do it immediately. Don’t procrastinate or wait for the “right time.” You may not live to see that time, or the person you want to help may not. The point of power is always now.

I’m inspired to share this because two recent incidents made me reflect deeply. One was the death of a close relative, the other, the passing of an acquaintance I only met once but stayed connected with through social media.

In the first incident, an aunt of mine came from another town for her monthly hospital appointment. She usually arrived a day before to avoid being late. That evening, after visiting some relatives, she spotted a shawarma shop and sighed: “Zan so na ci shawarma ko da sau ɗaya ne a rayuwata” (“I would love to taste shawarma at least once in my life”).

My cousin, who was driving, ignored her words and sped past. I pleaded with him to go back, but he insisted the shop was closed and wouldn’t open until 7 p.m., which is true. My aunt looked disappointed.

Later at home, I begged him again to get me shawarma bread so I could prepare it for her. He brushed it off, saying he was tired, and reminded me she’d be leaving early the next morning. “You can always make it for her next month,” he said. But my heart wouldn’t allow me to postpone it.

Eventually, he bought the bread, and I stayed up late preparing the fillings, finishing by midnight. I set my alarm for 4 a.m., woke up, rolled, and grilled the shawarma. By 5 a.m., it was ready. When I handed it to her, she was overjoyed. She couldn’t believe I went to such lengths to fulfil her simple wish. She prayed for me with a smile, and we said our goodbyes.

Later that day, she called to say she had arrived home safely and that my shawarma exceeded her expectations. She even saved some to take home. Though I joked, it must have been cold by then. She prayed again for me before hanging up the phone.

A few days later, she passed away.

I was in shock. Just last week, she was with us, longing for shawarma. I wept, but deep down, I thanked Allah that I didn’t delay. That shawarma became her first and last.

The lesson is clear: never delay an act of kindness. Tomorrow is not promised for you or for them.

Aisha Musa Auyo is a doctoral researcher in Educational Psychology. A wife, a mother, a homemaker, a caterer, a parenting and relationship coach. She can be reached via aishamuauyo@live.co.uk.