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First-class is not rocket science: You, too, can make it (II)

By Tordue Simon Targema

Shun examination malpractice and set for yourself a standard:

Integrity is a virtue, imbibe it in your academic journey. At all cost, shun examination malpractice and avoid all occasions that might lead to it. Typically, poor preparation and keeping bad companions are the main motivations for examination malpractice. The effects of this act on your academic integrity are adverse.

Once your lecturers know you as the type that indulges in examination malpractice, they are inclined to doubt all that they see in your script as a product of cheating and give you weak grades on the grounds of suspicion.

Excellent grades are for students that are exceptionally good, and not for cheats. Strive to be exceptional and keep your integrity intact by avoiding malpractice in all its manifestations.

Be punctual and disciplined

Avoid coming late to the class and seating where you’ll be distracted. Except it becomes absolutely necessary, always be punctual to your classes so that you get the best from the lectures.

It is important also that your teachers know you as a serious student so that they can vouch for you even in your absence.

But when you are known to be unserious, the reverse is always the case, and the tendency is always there for them to generalize your lackadaisical attitude to studies even when you have a case.  

Attendance to lectures is non-negotiable

No matter how brilliant you think you are, attendance to lectures is sine qua non. Yes, some lecturers might truly have nothing new to teach you.

But what happens in the event of an impromptu test? What if a lecturer decides to use attendance of the particular class you miss as his CA?

As a student desirous of uncommon academic feats, you must make it a point of duty to attend all classes except in the case of unforeseen eventualities.

Avoid having issues with your teachers and course mates

This is another great obstacle to academic excellence. As much as you can, avoid issues with your teachers, course representatives and fellow students.

In the event that a misunderstanding ensues between you and a lecturer or students, always endeavour to resolve it and correct the impression immediately.

Never leave the impression in your lecturers or fellow students that you are the arrogant type. You never can tell where you’ll need them to defend you in your absence.

Humility is a virtue

Be humble, arrogance is an obstacle to academic excellence. A humble student is naturally attractive to his lecturers. Conversely, all lecturers detest arrogant students and take away all occasions of grace from them.

An arrogant student is, thus, on his own when he needs grace from his lecturers. Be teachable and let people advice you. Endeavour to take all positive advices seriously.

Listen to people who have made it, have role models and emulate their lifestyles, read motivational books, watch motivational movies and equip yourself adequately with good counsel.

Be positive minded

Always tell yourself that you can make it. This keeps you constantly motivated and tells you that your aspiration is possible. Ban all negative vibes and sources of discouragement, and never give up until it becomes practically impossible to keep the pursuit.

For instance, even in my final year, many people kept telling me that first-class is not possible! I had to defy them and keep a positive mind.

Many of my mentees entered into first-class CGPA range only in their final year!

However, it was their relentless struggle in the past levels that sustained their CGPA and provided it with adequate buffers to sustain the eventual first-class result.

Social media addiction is a weakness, and so with all other addictions

In today’s Internet age, the social media have emerged as the biggest distractions to students. Many students are on Facebook, WhatsApp, Instagram, Tik Tok, Twitter and the rest all day!

Much as these present rich educational opportunities and complement one’s academic journey, addiction to them is disastrous and keeps one perpetually defocused. Today, students actively chat with friends on the social media during lectures and class presentations.

There could be no other distraction as serious as this. To make the best out of the social media as one strives for academic excellence, avoid 24/7 dependence on the social media, draw boundaries accordingly and stick to them. There is, indeed, time for everything. 

Overcome the endemic scourge of laziness

Laziness is a natural trait that is common to all human beings. To excel in your academics, you must be seen making deliberate effort to overcome it.

The ability to overcome laziness distinguishes you from other students and makes you exceptional.

Once you overcome laziness as a student, a substantial chunk of your academic huddles has been defeated for good.

Conclusively, it is important to note that everyone has his/her weak points that serve as impediments to their academic aspirations. While some of these are generic as discussed in the points above, some are uniquely peculiar to an individual’s immediate physical, economic and psycho-social environments.

As a student aspiring for academic excellence, you must, as a matter of expedience, identify your own weaknesses and work assiduously towards overcoming them. This is the only way you can distinguish yourself from others and pave your way to the much-coveted excellence.

May the Almighty God, the Giver of knowledge and understanding, help us to attain academic excellence in our various disciplines.

I wish Dr Vincent Nduka Ojeh a wonderful birthday celebration and more fruitful years ahead in his meritorious service to humanity.

Tordue Simon Targema is a lecturer in the Department of Journalism and Media Studies, Taraba State University, Jalingo. Email: torduesimon@gmail.com

First-class is not rocket science: You, too, can make it (I)

By Tordue Simon Targema

A senior colleague in the department of Geography, Taraba State University Dr Vincent Nduka Ojeh has invited me to present a talk to mark his birthday celebration with students at Omas Royal Academy, Jalingo. The topic was: Basic Tips for Academic Excellence.

Dr Ojeh has, over the years, developed the habit of celebrating his birthdays with secondary school students to mark the world “Call to Earth” day.

Over the years, he has used the occasion to share with the students, vital tips on climate change and best practices for safeguarding the ecosystem, as well as the basic tips that will enhance their academic, personality and career developments.

In the invitation call he put across to me for this presentation, Dr Ojeh said something that motivated me to develop an elaborate presentation for publication for a larger audience beyond his target students: “Bros, First Class is not rocket science, come and tell these students what the secret is.”

With these words, I have decided to give a deeper reflection on some of the vital tips that are required to propel one to academic excellence. Like Dr Ojeh rightly said, First Class is not rocket science.

After graduating with a first-class bachelor’s degree in 2014, I successfully mentored over a dozen students who also replicated the same feat both in my discipline and in other fields of study.

One thing that is obvious from the onset is that regardless of the discipline or institution, some basic tips are necessary to enable students attain this uncommon academic feat.

This essay gives a brief rundown of some of these tips with a view to guiding students on how best to attain academic excellence.

Students aspiring for academic excellence must, therefore, take special note of the following:

Avoid procrastination

This is one of the biggest obstacles to academic excellence. “There is still time” is the commonest excuse students give in their lackadaisical attitude to studies. Always endeavour to perform all academic tasks on time and don’t wait for the “last minute” as anything can come up and serve as obstacle when you are already out of time.

Always read ahead of timeand don’t wait for examination to come before you start reading. A serious student exhausts his syllabus right ahead of time and only revises during exam, while the lacklustre sorts wait for examination timetable to start reading.

At this point, tension is high, the brain is already tensed and confused, and understanding is extremely difficult.

As a serious student desirous of making good grades, read ahead of time, reconcile all grey areas right on time and prepare for examination before it eventually arrives.

Always read your notes after school

At this point, the lecture is still fresh in your memory. Go through your notes once you reach home and freshen up. Reconcile your notes with your friends, make sure they’re up-to-date and ensure you seek clarification for all grey points from your study circle, the library sources or online resources.

The mistake most students make is that they keep on taking notes and would never revisit them afterwards until it is time for CA test or examination.

Before that time comes, most salient points in the lectures have escaped their memories and reconciling the notes with the lectures becomes extremely difficult. Always go through your notes as the lecture is still fresh in your memory.

Read widely and consult extensively

Don’t limit yourself to lecture notes and hand-outs. Be hungry for knowledge and endeavour to know as much as is required of you.

Consult extensively to enrich your knowledge base. Discuss with your friends, consult your lecturers, visit the library and explore internet resources etc. to ensure that you are truly vast in your discipline- and other related disciplines too.

Knowledge has no bounds, and no knowledge is a waste, it’ll sure come handy someday. In today’s internet age, an unlimited volume of knowledge is deposited on the internet. Avail yourself the opportunity and explore extensively to satiate your academic and intellectual thirst.

Time management is of high essence

Equitable utilization and allocation of your time as a student is key to academic excellence. Sadly, most students lack this skill. As a student, you are faced with a lot of tasks- academics, social, religious, campus politics, business and lots of that.

Allocate your time for these various tasks accordingly based on priority and always make up for lost time the best you can in the interest of your studies.

Take all your courses seriously

It doesn’t matter whether it is a core course, elective or GST course. As long as you register a course, it is your course! Regardless of its status, once you register a course, your performance in it has effect on your CGPA.

The mistake most students make is to take core courses seriously, or courses with “strict” lecturers seriously at the expense of other courses.

Remember that CGPA is cumulative and performance in each course invariably affects your overall performance.

Crossbreed ideas with your mates

Studying in a group makes understanding easier. Apart from your private studies, have a group of like minds that you crossbreed ideas and enhance perspectives on issues discussed in the class.

Never allow others to dominate group discussions, always endeavour to contribute too and listen to others share their perspectives to the issues discussed as well.

That way, you’ll learn from them and refine your knowledge on your previous erroneous perspectives. Make your study groups lively, i.e. a give-and-take sort of arrangement where every member contributes to the knowledge pool for the benefit of all.

You don’t need to be stingy with knowledge, please share with others. Knowledge doesn’t finish when it is shared, but rather increases and gets more refined.

Avoid bad companions that put social life before academics

Keepingbad friends on campus is one of the biggest obstacles to academic excellence. Like the saying goes: birds of a feather flock together! Associate with like minds and people with the same priorities.

Colleagues who have different priorities have no business in your circle of friends.

To get your priorities right, you must purge your circle of friends and ensure that you only associate with like minds.

Remember, bad companions are a threat to your status as a student generally, not just your academic performance.

To be Continued

Tordue Simon Targema is a lecturer in the Department of Journalism and Media Studies, Taraba State University, Jalingo. Email: torduesimon@gmail.com

Exercise: A panacea for mental health?

By Aishat M. Abisola

As everyone knows, maintaining a proper grasp of your mental health can be difficult, especially in stressful environments. Stressful situations make it hard for people to have good mental health, making the mind vulnerable to mental illnesses like depression or anxiety disorder.

As someone who has dealt with anxiety, I can say with complete honesty that it is a terrible thing to deal with and the feeling of it lingers for a while until you feel better.

The best way to describe the anxiety, or how it made me feel, is that it made me feel cold and numb. It was hard for me to breathe as if I was drowning and many hands were pulling me down.

I didn’t know anyone around me who felt the same way I did, so it was a struggle for me. Luckily, I found a way around it, which was through exercise.

I’ll be honest and say that I don’t exercise as much as I used to, but when I did, I felt as if I had no worries. So I understand if you might be confused about why and how I started feeling better with exercise.

What you should know about exercise is that it keeps people in peak physical form and improves their overall well-being by creating changes in the brain.

Let me clarify that any form of exercise is better than none: yoga, walking, swimming, martial arts, stretching, and housework (despite what some may think, things like sweeping and mopping can put your muscles to work).

People who often exercise generally sleep better, feel more energetic during the day, have better memories, and feel more positive about themselves.

This is not conjecture, but facts, as studies have shown that exercise can treat mild or moderate depression the same way antidepressant medication can – minus the side effects. For example, walking 15 minutes a day or walking for an hour reduces the risk of depression by 26%.

Inactivity damages your mental health in the same way that exercise can bring many benefits to your mental health. As a natural anti-anxiety treatment, exercise relieves stress and improves physical and psychological energy. In addition, exercise releases what I refer to as the body’s “Happy” chemicals (Serotonin, Endorphins).

These chemicals are known for improving one’s mood, and exercise releases a particular amount depending on the type of exercise.


Exercise also improves physical in more ways than one:

• Improves cardiovascular health by lowering blood pressure, improving cholesterol levels, and reducing the risk of strokes, heart attacks, and heart disease.

• Helps with diabetes by improving blood glucose control, reducing cardiovascular risk factors, helping with weight loss, and delaying/preventing the development of type 2 diabetes.

• Reduces the risk of cancers: stomach cancer, breast cancer, bladder cancer, kidney cancer, uterine (endometrial) cancer, etc.

• Improves bone health by strengthening the muscles and bones because ageing causes bone density loss and prevents osteoporosis.

• Increase the chances of living longer.

• Helps you to maintain an appropriate weight level.

• Improves brain functions and reduces the risk of dementia.

When it comes down to exercise, at most, you should perform 2.5 – 5 hours of exercise a week.

It isn’t recommended that you do your exercise all at once. Instead, reducing it into time intervals would be best to make it easier. If you don’t have much spare time, here are ways that you can exercise without it taking up too much time:

• You can try walking or cycling if you have a bicycle.

• Incorporate exercise into your daily lifestyle by maybe taking the stairs when you would probably take the elevator or parking your car (if you have one) far from your destination.

• You can practice yoga by searching on YouTube and following the videos through the motions.

• You can exercise in the morning before you prepare for work.

• Dancing is a fun method of exercising without putting much effort. Just play music and move your body.

If you have a chronic condition like arthritis, a disability, weight issues, or an injury that prevents you from moving too much, talk to your doctor about ways for you to exercise safely. You can worsen your condition by exercising without consulting a doctor on the proper steps.

Another thing to note is that if you are feeling pain while exercising, stop and rest. Drink some water and lie down. If the pain continues, don’t ignore it. Go and see a doctor for help.

If you’ve heard the saying “Health is Wealth” before, then you know that you should prioritize your body. Harming yourself to improve your mental health will only make it worse.

Exercise may be helpful to the body and mind, but make sure to listen when your body clearly says, “NO!”.

Aishat M. Abisola is a member of the Society for Health Communication, Wuye District, Abuja. She sent this article via aishatmohd02@gmail.com.

Mohammed Nasir Sambo, NHIA DG, is the man for the job

By Safiyanu Ladan

The National Health Insurance Scheme (NHIS), now Nigeria Health Insurance Authority (NHIA), was established under NHIS Act (2004) by the Federal Government of Nigeria to provide easy access to health care for all Nigerians.   

The central idea of the scheme is to enhance healthcare delivery to all Nigerians at affordable prices. Hence, easy access to health care installations for all Nigerians is consummate as it would drastically reduce, among other effects, neonatal and maternal deaths which have been the bottleneck of Nigeria’s development.  

According to World Health Organization (WHO), the maternal mortality rate in several low-income and middle-income countries is alarming. For example, Nigeria and India account for about 34% of global motherly deaths. 

Nigeria’s maternal mortality rate (MMR) is 814 per 100,000 live births. The lifetime threat of Nigerian women dying during gestation, childbirth, postpartum and post-abortion is 1 in 22, in contrast to developed countries, estimated at 1 in 4,900. 

Still, the WHO attributed the high prevalence of maternal deaths in Nigeria is inequality in access to health services.  

To contend with the challenges associated with maternal deaths in Nigeria, the studies by WHO suggested some modalities, one of which is perfecting the accessibility, availability, affordability and quality of health care in PHCs will most probably reduce the high rate of neonatal and maternal mortality in Nigeria.  

Upon assumption of duty in 2019, the selfless, diligent, and workaholic professor of family medicine unveiled a  novel 3 points agenda which includes, among other effects accelerating the scheme towards achieving universal health coverage for all Nigerians.  

In ascertaining that, the amiable and agile professor and his platoon worked round the clock, day in and day out, and sought out the legislation that changed the narratives in NHIS. A milestone that his forerunners failed to achieve. Therefore, the credit goes to him. 

On May 19, 2022, he made history, having successfully secured the signing of the National Health Insurance Act (NHIAA) 17 into law by the National Assembly. 

The signing of the National Health Insurance Act 17, which gave birth to the National Health Insurance Authority ( NHIA), is a breakthrough in the full implementation of all-inclusive access to health care.  

The legislation provided a legal framework for all Nigerians, including the most vulnerable, to have easy access to quality healthcare delivery through the National Health Insurance Authority.

 Professor Sambo said to ensure the effective perpetration of the scheme. The FG would spend a whopping 1.4 trillion for the Health Insurance premium of about 83 million Nigerians who fall within the vulnerable group of citizens of the country. 

His tireless efforts towards achieving the chivalrous change of NHIS clause “ May ” in section 16 of the NHIS to “Shall”, thereby making it all-inclusive, is greatly applaudable. 

The previous professor Sambo has set an unprecedented pace towards evolving NHIA to achieve its mandate of ensuring Universal Health Coverage for all by 2030. With Sambo at the helm of NHIA, it’s attainable. 

Safiyanu Ladan writes from Zaria.

50 medical doctors leave Nigeria every week – NMA raises alarm 

By Uzair Adam Imam 

The Nigeria Medical Association (NMA) lamented that no fewer than fifty medical doctors leave Nigeria for better jobs abroad every week. 

NMA also decried the wave of brain drain that recently hit Nigeria’s health sector. 

Dr Rowland Ojinmah, the National President of NMA, disclosed this to journalists during the opening ceremony of 2022 Abia Physicians’ Week. 

Lamenting the sad development, Ojinmah urged the government to intervene and end the worrisome trend. 

It was gathered that the poor working conditions of doctors in Nigeria would be unconnected to why the doctors decided to leave the country. 

Ojinmah asked the government to fix the hospitals if they truly wanted to reverse the trend.

He stated,” The Governors are sleeping; They should not be waiting for the Federal Government alone. 

They should fix General Hospitals in their states to take care of the health needs of the citizenry at the local levels”.

Suic*de: Measuring our well-being with pseudo scales 

By Lawal Dahiru Mamman

An attempt to kill oneself in response to a tragic or stressful situation is termed ‘attempted suicide’, while success in such an attempt is referred to as ‘suicide.’ This profoundly affects families, especially when such an attempt is successful, and when one survives, they battle other mental disorders.

For suicide not to be seen only as a storm in a teacup, the International Association for Suicide Prevention, in conjunction with the World Health Organisation in 2003, slated the 10th of September to annually commemorate what it termed ‘World Suicide Day’. Issues surrounding suicide are discussed with the hope of ending the horrendous act on the day.

This year’s event got me reminiscing on an incident in my neighbourhood three years ago where a nine-year-old girl in Primary 4 sent herself to the grave by hanging. What would have prompted her? This question continues to resonate in the minds of those unfortunate to see her hanging lifeless. 

Seven hundred thousand people commit suicide yearly, according to the world health organisation (WHO), with 70% occurring in low and middle-income countries. WHO’s country representative to Nigeria, Dr Walter Mulombo, said: “for every suicide, twenty (20) other people are making an attempt and many more have the thought to commit same.”

Ingestion of pesticides, hanging and firearms are said to be the most common method of committing suicide globally. In high-income countries, suicide has been associated with mental disorders like depression and alcohol use disorder. In contrast, in low-income countries, life problems like financial crises, relationship break-ups, chronic pain and illness take credit – these are primarily associated with adults.

On the other hand, children may become suicidal due to poor performance in school, coupled with pressure at home to do better, bullying, losing friends, etc.

Thanks to civilisation and technological advancement, people have become more and more isolated. At the same time, others try to emulate the more often pseudo lives of others they see on TV or social media. Mr A wants his child to be as bright as the child of Mr B; Mrs X wants her husband to provide the luxury Mr Y is providing for his family; Mr M wants his wife to be as dazzling as the wife Mr N, the list goes on. All these think this way while still battling financial crises and others. 

While the authority is setting up mental healthcare centres, and organisations are trying to do the same at workplaces, families need to start being the haven they should be for their members. Parents should understand that failure for children is just okay when they have given their best while helping them be the best version of themselves.

Generally speaking, marriages, relationships, education, intelligence, social status, and all that encompasses life should not be measured using the yardstick we see in the media. As the saying goes, not all that glitters is gold.

Nigeria is a place where religion is held in high esteem. Therefore, religious leaders could take it upon themselves during sermons to discourage suicide. The haves should remain humble and thankful for their possessions, while the have-nots should not despair for whatever position they find themselves in; others aspire to get there.

Dale Carnegie, an American writer, stated, “It is not what you have, who you are, where you are or what you are doing that makes you happy or unhappy. It is what you think about it.” Understanding this will go a long way in curtailing suicide.

When all hands come on deck, we would be “Creating Hope Through Action.”

Lawal Dahiru Mamman, a corp member, writes from Abuja and can be reached via dahirulawal90@gmail.com.

ECWA Hospital, CMB Global offer free eye surgeries in Kano, Jigawa

By Muhammad Aminu

The ECWA Eye Hospital (EEH) Kano and Christoffel Blinden Mission (CBM) Global will offer a comprehensive and inclusive eye health (CIEH) programme targeting residents of Kano and Jigawa States.

Thousands of individuals are billed to benefit from the programme that will run for four consecutive years in the selected states.

The Chief Medical Director, EEH, Dr Atima Mayor, who disclosed this at the launch of the project in Kano, said that the project was born out of efforts to tackle visual impairment and break the circle of poverty in the states.

According to Dr Mayor, the project, which is supported by CMB UK and Australia, has over 80000 other beneficiaries who will benefit from different tests and services within the timeframe for the project.

He further explained that issues of disability, especially visual impairment and poverty among persons with disabilities, have been affecting the quality of life.

“North West has the highest number of blindness. As population increases, it’s expected that the number of blindness will also shoot up hence the need to act,” he said.

He called on the two states to collaborate with ECWA to continue with the project even after this 4-year intervention project to ensure the efforts is sustained to tackle the challenge in the States.

The CMD further explained that Kaduna and Katsina States, which were initially part of the project, were temporarily put on hold until the security situation improves before the project can be expanded to the states.

In his address, EEH Administrator STEPHEN NUBOBGA who was represented by CMB Project Coordinator Phillip Ode noted that between September 1, 2022, to August 2026, the project targets over 90,000 beneficiaries in the project in the selected states.

“500 children will be operated on for cataracts, 1000 adults, 250 children with glaucoma and other major surgeries, 400 adults with glaucoma, 250 other children with minor surgeries and 50 retinoblastomas.

“2000 individuals for spectacles, 5000 for refraction, and  80, 000 others for free eye screening,” he disclosed.

In her earlier opening remark, CBM Global Country Director, Ms Ekaete Umoh, said that the historic project launched is aimed at targeting individuals in hard-to-reach areas in the selected states to help persons with visual challenges and break the cycle of poverty in their ranks.

She said that CMB Global is concerned with the rising cases of visual impairment in Nigeria, specifically North West Nigeria, where there is a high concentration of visually impaired persons.

“As the prevalence of blindness in Nigeria is 4.2%, it is estimated that 4.25 million adults aged 40 years and above have moderate to severe visual impairment or blindness.

” Available statistics show that 28.6% (14 million of all adults living in the North West Nigeria have a visual impairment. As a result, the majority are unable to work, are excluded from many community activities and require additional support, which impacts on their families and trapped them in the cycle of poverty,” he stressed.

According to Nububga, 100 persons living with disabilities (PWDs) will be empowered with means of livelihood as a component of the project.

Representatives of the Federal Ministry of Health, Kano and Jigawa States, as well as the Joint National Association of Persons with Disabilities (JONAPWD), commended the donors and partners for working together to address the issue.

Also speaking, the royal father of the day, Alh Mohammed Bashir Mahe, commended the EEH and CMB for helping the needy in society, adding that traditional institutions are always ready to support such a noble cause.

Menopause: Cognition and Mood

By Aisha Musa Auyo

World Menopause Day (WMD) is held annually on the 18th of October. The purpose of the day is to raise awareness of menopause and the support options available for improving health and well-being. Professionals and women are encouraged to participate in this global awareness-raising campaign by printing and sharing these materials, organising events to engage their communities, and sharing WMD social media posts. The theme for the 2022 WMD is Cognition and Mood

Before going into this year’s theme, I’ll explain the basics of menopause as a reminder and enlightenment for those who do not know much about it.

Menopause happens to most women with an average age of 51 years, but it’s normal to have menopause anywhere between 45 and 55 years – although some women have it earlier or later. Perimenopause is the time leading up to menopause, and postmenopause is the time after the final period. So it’s likely that you have reached menopause if you haven’t had a period for 12 months.

What happens at menopause?

From about 35–40 years of age, a woman has fewer eggs left in the ovaries, so one often doesn’t ovulate (release an egg from your ovary) regularly. Menopause means ovulation and periods stop.

Hormones are chemicals in one’s body that relay messages through the bloodstream. For example, your hormones tell your body to eat and sleep. The three main hormones that change as one approaches menopause are oestrogen, progesterone, and testosterone; change in hormone levels leads to different menopausal symptoms and the menopause transition

1. Perimenopause is the stage before your final period (menopause). It’s when your body reaches the end of its reproductive years. Perimenopause is a natural part of a woman’s life, and it usually happens sometime in her 40s. On average, it lasts four to six years but can also last from one to 10 years.

During this time, your ovaries begin to run out of eggs. This causes hormone levels, particularly oestrogen, to fluctuate, causing different symptoms like hot flashes and mood swings. Changing hormones can also affect your menstrual cycle. For example, your periods may be irregular, shorter (or longer), lighter (or heavier), or they may not come for a few months.

Some months you may ovulate, and other months you may not. You may even ovulate twice in a cycle. Symptoms include: Irregular periods, vaginal dryness, hot flashes, chills, night sweats, sleep problems, mood changes, weight gain and slowed metabolism.

2. Menopause occurs when you’ve stopped producing the hormones that cause your menstrual period and have gone without a period for 12 months in a row. Once this has happened, you enter postmenopause.

3. Post-menopause is the time after menopause has occurred. Once this happens, you’re in post-menopause for the rest of your life. Your hormone levels will remain low, and you will no longer have a monthly period. You can’t get pregnant because your ovaries have stopped releasing eggs.

Most people in post-menopause feel lingering symptoms from menopause. However, the symptoms are less intense. In some cases, they almost disappear. Lingering symptoms are caused by low levels of reproductive hormones. Women in post-menopause can feel symptoms such as hot flashes and night sweats, vaginal dryness and sexual discomfort, depression, changes in sex drive, insomnia, dry skin, weight changes, hair loss and urinary incontinence.

Talk with your healthcare provider if your symptoms become more intense or interfere with your daily life. They may want to rule out any underlying condition causing these symptoms.

How do I manage symptoms of post-menopause on my own? Particular lifestyle or at-home changes can help you manage symptoms of postmenopause. Some of these include:

• Using a water-based vaginal lubricant during sex to make it more pleasurable. Lubricating the vagina helps with dryness and pain.

• Regular exercise, meditation and other relaxing activities can help with depression and other side effects of postmenopause.

• Eating a diet rich in phytoestrogens (plant-based sources of estrogen) such as whole-grain cereals, flaxseed, chickpeas and legumes. Reducing caffeine and alcohol intake has also been shown to help.

Cognition and mood in menopause

Cognition

During the menopausal transition, many women complain of memory problems such as difficulty with words, forgetfulness and “brain fog”, thus suggesting that hormonal changes related to menopause may be responsible for changes in cognition. This is due to the deep connection between estrogen and cognitive function. Still, some lifestyle changes one can make may ease symptoms and improve memory.

For example, you should eat a well-balanced diet; a diet high in low-density lipoprotein (LDL) cholesterol and fat may be bad for your heart and brain. Also, get enough rest, and exercise your body and mind.

Mood

Irritability and feelings of sadness are the most common emotional symptoms of menopause. Often, they can be managed through lifestyle changes, such as learning ways to relax and reduce stress. Here are some tips that may make it easier for you to handle your fluctuating emotions: Exercise and eat healthily; find a self-calming skill to practice, such as yoga, meditation, or rhythmic breathing; avoid tranquilisers and alcohol; engage in a creative outlet that fosters a sense of achievement; stay connected with your family and community; nurture your friendships.

Supporting someone through the menopause

Menopause can be associated with many physical and emotional changes for women, making it a challenging and complicated time.

If you know someone who might be going through menopause or perimenopause, it’s helpful to find out more about how you can support them. For example, some women will drop out of the workforce if not supported. Adapting working policies, such as providing access to flexible working, can help women remain in the workplace.

Learn more about menopause

Getting yourself and others informed is a significant step. It will give you an idea of what your partner, family member, friend or colleague might be going through.

A good first step would be to learn about all the various symptoms of menopause, the impact these symptoms may have on your loved one and others, and the potential treatments and support available.

Listen to them

Communication is key. Ask about how others feel or what they’re going through. It’s essential to keep in mind that not everyone might want to talk about specific symptoms or feelings. It is also important to remember that everyone’s menopause is different, so don’t make assumptions about what they are experiencing. However, letting them know you’re there if they need you will make them feel supported.

Encourage them

They might not feel like doing things they usually would, and their self-esteem might be low. Words of encouragement can help make them feel more uplifted and empowered. Inviting them to engage with various people or activities will also provide opportunities to feel good about themselves even when experiencing symptoms.

Help with their symptoms

An active, healthy lifestyle can ease some of the symptoms of menopause. For example, you can encourage them to go for a walk, swim or try a yoga class to get more active. In addition, changing the ways you spend time together, like cooking a healthy meal together.

Menopause and the workplace

Many women have said that they often find managing symptoms of menopause in the workplace very challenging. Coping with symptoms in the workplace can be hard, especially as many women find it difficult to talk about menopause at work.

Workplaces

It is vital that women feel supported to continue working throughout their menopause. Managers and organisations can make many small changes to ensure workplaces are healthy and welcoming places for women going through menopause.

Supporting staff

Menopause is a normal transition for many women. Thus, employers can contribute to a positive work environment by providing help and support for women who are managing menopause symptoms at work.

Menopausal symptoms can also be protected by employment law. Therefore, it is crucial that managers and colleagues feel informed and comfortable about the symptoms and impact of menopause.

Aisha Musa Auyo is a Doctorate researcher in Educational Psychology, a mother of three, a Home Maker, caterer and parenting/ relationship coach.

Noma, a deadly but neglected infection 

By Lawal Dahiru Mamman 

Noma, otherwise known as necrotising ulcerative stomatitis, gangrenous stomatitis, or cancrum oris, is a bacterial infectious but non-contagious infection; resulting from poor oral hygiene, lack of sanitation and malnutrition, affecting both soft and hard tissues of the mouth and face, rapidly progressive and more often than not fatal.

The most common sign and symptom is the development of an ulcer in the mucous membrane of the mouth before spreading to other parts of the face. If detected early, the condition can be arrested with antibiotics, proper nutrition and oral hygiene, while late diagnosis does not restore disfigured or damaged tissues even if treated.

Affecting children between 2 to 6 years of age, the disease is prevalent in impoverished communities in Asia and Africa. However, infection was also found decades ago in Europe and South America. This infection has since vanished with improved livelihood and healthcare.

Preventable but deadly, all over the world, Noma has been given the cold shoulder (neglected) over the years. The absence of current epidemiological data has made the data of the World Health Organisation (WHO) from 1998 the most frequently cited estimation of the disease, with a global estimate of 140,000 new cases recorded annually, with a majority in Sub-Saharan Africa and a mortality rate of 90% if not treated within two weeks.

The infection has not spared the children in Nigeria, falling under the countries in Sub-Saharan Africa, killing numbers and leaving survivors disfigured, coupled with the reality of leaving the rest of their lives under stigmatisation.

This informed the decision of the Federal Ministry of Health to call on the WHO at the 75th World Health Assembly to include Noma on the list of Neglected Tropical Diseases (NTDs) where it belongs.

The call was aimed at rallying global support to eliminate and start preventive and curative measures against the preventable but deadly disease.

Established in the year 1999, the Noma Children’s Hospital, Sokoto, up until May 2022, when Noma Aid Nigeria Initiative (NANI) began construction of a new 100-bed National Noma Treatment Centre within the National Hospital, Abuja, has been the only specialist hospital shouldering the burden of the debilitating disease in the country.

The Chief Medical Director of the hospital in Sokoto said, “what is lamentable is that the disease is curable and even preventable, but lack of awareness has made a good number of patients die at home without visiting the hospital, exacerbating knowledge gap.”

To create awareness on predisposing factors like malnutrition, vitamin (A and B) deficiency, contaminated drinking water, immunodeficiency and living in proximity to livestock, November 20th have been set aside as Annual Noma Day.

Before resting my case, let me advocate that the awareness campaign held annually on NOMA DAY be taken to people in rural areas. These people are most vulnerable and unaware. Therefore, it will be better than having the symposia in town or city halls where the inhabitants are most likely informed. Moreover, more specialists should be trained on the infection to establish more specialist hospitals in at least each geopolitical zones of the country to unburden that in Sokoto and the upcoming one in the Federal Capital Territory.

Furthermore, people should be encouraged to embrace oral hygiene and proper nutrition like a religious ritual. In suspected cases, patients should be taken to the hospital for appropriate treatment to prevent disfigurement. Routine vaccination for children ought to be taken as a priority of every parent, and individuals with any information on Noma are encouraged to carry out a personal campaign in their locality amongst family and friends because the little things we do can make a difference.

Lastly, I urge all to avoid stigmatisation of survivors because they were but victims of circumstance.

Lawal Dahiru Mamman, a corp member, writes from Abuja and can be reached via dahirulawal90@gmail.com.

Unpopular tales of unsatisfied Muslim wives

By Khadijah Tijani

There are many untold stories of Muslim women who are dissatisfied in their marriages due to sexual starvation. But unfortunately, people are not ready for the conversation. Many reasons are responsible for the apathy towards this problem.

Here are some of my thoughts:

Most women are “expected” to have a lower libido than men. However, experience has shown that many women have a high libido but often find ways to actively suppress their unattended desires. People think it’s a rare thing, but really, it’s more common than you think.

They are “expected” to accept whatever their husbands throw at them without complaining. But, since polygamy is not for women and divorce is not easy to get, they endure the sexual incongruity and bottle in the heightened emotions.

They are “expected” to focus on their children and care less about their sexual urges. However, in reality, some women begin to understand their sexuality only after reaching full maturity (age 35 and above). For some, this may happen after birthing all their children! They become more self-aware and assertive enough to demand sex. In fact, some women don’t stop wanting sex even after menopause! Conversely, men tend to become less sexually active in their late 30s and 40s. They’re more likely to be physically and emotionally absent from home due to work, business or further studies. For some men, even if they’re present, chronic medical conditions may have set in, putting them at risk of erectile dysfunction and lower sex drive.

They decide not to complain because no one will listen anyway. 8 out of 10 women would rather not speak against sexual dissatisfaction because of these high expectations. If they ever summon the courage to speak, they are often shushed by families, friends and religious clerics. Many don’t have access to professional help or the money to pay for such services.

In a survey I conducted among a small group of married Muslim women last year, I found out that 40% of them have difficulty achieving sexual satisfaction. This could be due to an inability to reach orgasm (a real psychosexual disorder) or enjoy regular, satisfying intimacy with their husbands. A larger percentage of these women cannot express their dissatisfaction for the reasons I have mentioned above.

The first solution to this problem is for men to normalize taking feedback from their wives. Don’t assume that you’re done because YOU are done. You don’t even need to ask if she’s satisfied; you only need to look at her face and feel her body language. A well-bedded woman will keep smiling at you for the rest of that day, if not longer. She will show other verbal and nonverbal cues to endorse that you have done a good job.

You need to acknowledge and validate her feedback to show that you care.

“I can see that you are smiling all the way. So that’s a good sign, right?”

Or,

“You’re not smiling. What’s wrong?”

“You know I’ve been under too much stress lately. Please give me some time to rest. I’ll make it up with you very soon.”

These validations will reassure her of your interest in satisfying her and encourage her to open up and communicate her needs.

If there’s an unsettled problem, feel free to talk about it. Avoid sweeping issues under the carpet and using sexual starvation to punish your wife. It works sometimes, but it can also be counterproductive at other times. She may begin to doubt herself and second-guess her choice of marrying you. This may negatively impact her mood and self-esteem.

And if you’re one of those who joke about the importance of sex and intimacy in marriage (“is sex a food?” Really?!), remember that the lady can get everything she needs without marrying you; let’s face it. She left her father’s house just for sex and procreation!

Also, remember that shaitan is always lurking around to identify loopholes to invade your marriage. A dissatisfied wife is one of such loopholes. She might begin to hear whisperings on how to satisfy her needs through haram ways. She may start cheating subtly, looking for means to unleash the pressure and engaging in unwholesome activities to douse the tension. We seek Allāh’s refuge against such.

In conclusion, I implore men to study their wife’s sexual needs and try to satisfy them as much as possible. Communicate freely and assist each other to achieve happiness through halal intimacy. Seek professional advice and therapy if possible. Do not shame your spouse for wanting a little bit more than usual. What makes your marriage what it is, if not the permission for intimacy?

Khadijah Tijani is a medical doctor. She writes from London, Ontario and can be reached through askodoctorkt@gmail.com or @AskDoctorKT.