Health

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 Ibrahim Aisha

In the Chiranci ward of Kumbotso Local Government Area in Kano, the term “sore throat” has taken on a chilling significance. For Iya Yani, a mother of eight, it was the phrase that cost her daughter her life.

“She only said her throat was hurting,” Iya Yani recalled with tears. “Neighbours told me it was nothing, just harmattan. By the time I took her to the hospital, she could no longer breathe. She died before they could help her, and the doctor blamed my ignorance “.

Iya Yani’s heartbreaking loss is part of a broader tragedy unfolding far and wide in the Kumbotso Local Government Area, a tragedy that statistics and government reports can hardly mitigate. 

Diphtheria, a disease preventable by vaccine, continues to claim the lives of children in this community, some due to financial constraints, misleading rumours and even Ignorance.

Diphtheria is a highly contagious, vaccine-preventable disease caused by the exotoxin-producing bacterium Corynebacterium diphtheriae. While the disease can affect individuals of all age groups, Unimmunised children are particularly at risk. There is no World Health Organisation (WHO) region that is completely free of diphtheria globally.

The Facts Behind the Grief

According to the Nigeria Centre for Disease Control’s (CDC) situation report from May 2025, Nigeria recorded 30 confirmed cases and three deaths in the first few months of the year. By July 2025, Premium Times reported that Kano State alone had logged 18,284 confirmed infections and 860 deaths, making it the most affected state in Nigeria. 

According to the World Health Organisation, from 9th May 2022 to 25 October 2023, 15,569 suspected diphtheria cases have been reported across Nigeria, 547 of whom have died. 

As of October 2023, the World Health Organisation disbursed US$1.3 million for the response to enhance key outbreak control measures, including disease surveillance, laboratory testing, contact tracing, case investigation and treatment, training, as well as collaborating with communities to support the response efforts. 

With support from the WHO and the United Nations Children’s Fund, Kano State carried out three phases of reactive routine immunisation campaigns in February, April, and August 2023, using the combination tetanus-diphtheria and pentavalent vaccines.

Almost 75,000 zero-dose children under the age of two received the first dose of the pentavalent vaccine, while around 670,000 eligible children (4‒14 years) were vaccinated with the tetanus-diphtheria vaccine in 18 high-burden local government areas in Kano state.

 Health Reporters revealed in July 2025 that Chiranci of Kumbotso local government is one of the wards with the highest number of “zero-dose” children – those who have never received a single vaccine. In such a setting, diphtheria spreads rapidly, and misinformation intensifies the situation. According to the National Bureau of Statistics, Patients who were not vaccinated had more than double the likelihood of death compared to fully vaccinated individuals.

When rumours mislead and ignorance lies 

Many parents from different areas of Kumbotso Local Government Area admit they delayed immunisation due to prevalent rumours. 

When his seven-year-old brother, Jubrin, was diagnosed with diphtheria in July 2023, Aminu had never heard of the disease, the outbreak of which had claimed more than 500 lives in Nigeria.

Safiya Mohammed, a mother of two, residing in the Kumbotso Local Government Area, a hotspot for diphtheria in Kano State, ensured her children were vaccinated.

“I had never heard of diphtheria,” Safiya said. “I don’t want my children or those in the neighbourhood to fall sick or die from the disease. To protect my children, I also need to make sure the children they play with are protected.”

 Fatima Umar, a resident of Dan Maliki and a nursing mother, confessed, “I heard the injection would make my baby sick, so I waited. Then he fell ill. The hospital told us it was diphtheria. He died before I even understood what that word meant.”

Usman Sani, a husband and resident of Taku Mashi, shared a similar regret: “My wife complained of her throat and her not being able to swallow food properly. I thought it was just a sore throat”.He added that by the time his wife was taken to the hospital, it was already too late.

For Zainab Ibrahim, a mother at Chiranci Primary, the battle against diphtheria has been both long and personal. In early 2025, her daughter, Halima, nearly lost her life to the disease. “She could not breathe,” Zainab recalled. 

My daughter said she finds it difficult to yawn properly, and her throat hurts a lot when she swallows saliva. My neighbours kept saying I should use garlic to make tea for her. I started, but noticed there was no progress, as my daughter could not breathe one night. My husband was away, so I called him in the morning and told him I was going to the hospital. As soon as I arrived at the hospital, she was diagnosed and a file was opened for her. The doctor administered drugs and told us to return after two weeks for an operation.

Zainab further mentioned that her daughter survived. “But the scar on her neck serves as a constant reminder of how close I came to burying her.”

At a local Islamic school at Dorayi Chiranci primary, the head of the school, Malam Andullahi Abubakar Jabbi,informed that many of his students died during the outbreak of diphtheria. It started small, then it became alarming when 3 siblings died within the interval of not less than a week.

” Many students stopped coming, and parents phoned to know what was happening. We had to close down the school for some period of time to avoid the spread of the disease,” said Malam Abdullahi.

Bala Dahiru, a resident of Dorayi Yan Lalle, narrated that it was due to financial constraints that he almost lost his only daughter’s life to diphtheria.

What Kumbotso teaches Nigeria 

Diphtheria is preventable. The World Health Organisation affirms that vaccination offers nearly complete protection against the disease. Yet in many areas of Kumbotso, many mothers continue to rely on neighbours’ advice rather than the guidance of health officials. Health workers, such as Lawan Ibrahim Ahmad, the Primary Health Care Coordinator for Chiranchi Primary Health Care, have repeatedly stated that without a steady supply and consistent funding, “it is impossible to reach every child in every home.”

The tragedy of Kumbotso illustrates that diphtheria is not merely a medical issue; it reflects broken trust, inadequate systems, and misinformation that can kill as swiftly as the bacteria themselves.

A Call to Protect Children

The stories emerging serve as a dire warning. Unless vaccination coverage improves, more families will mourn children lost to a disease that the world already knows how to prevent.

Iya Yani’s daughter should not have died from what she thought was a mere sore throat. Halima should not bear the scar on her neck just to breathe. Fatima should not have lost her son to a disease that belongs in the past.

This grief mirrors our collective failure. Until we take action, every cough in this community will reverberate with fear: Could this be the next case of diphtheria?

By Muhammad Abubakar

Health experts are warning against the growing habit of spending long periods on the toilet while scrolling through smartphones, according to a recent report by The Washington Post.

Doctors caution that sitting too long on the toilet can put unnecessary pressure on the rectal veins, increasing the risk of hemorrhoids and other related problems. What often begins as a quick bathroom break can stretch into 15 minutes or more when people get absorbed in social media, emails, or online news.

“The toilet is not a lounge chair,” one colorectal specialist noted. “It’s meant for short use, not for catching up on your notifications.”

Instead, experts advise leaving your phone outside the bathroom and limiting screen time during restroom visits. By doing so, they say, people can not only reduce health risks but also foster healthier digital habits.

By Khadija Hamisu Daninna 

Across Nigeria, kitchens are changing. Gas cylinders stand neatly in urban homes, while charcoal bags fill market stalls. Yet, despite these alternatives, firewood still burns in countless households. Its smoky flames carry taste, memory, and tradition that neither gas nor charcoal can fully replace. For some families, it is also the more affordable choice.

Zainab, a 31-year-old resident of Daura, has never known another way of cooking. “I have never cooked with gas before. All my life, I have been using firewood. I don’t even know how food tastes on gas, but I prefer my firewood. Maybe it is because I grew up with it. I use charcoal sometimes, but firewood is easier for me. Firewood is what I know.”

For Mariam, a 39-year-old housewife, firewood is tied to her husband’s nostalgia. “My husband always says the fried eggs his mother made tasted better on firewood. So I fry eggs on firewood, just to remind him of his childhood.”

Hajara, a 26-year-old food vendor, said firewood gives food a flavour no other fuel can provide. “When I cook jollof rice for parties, I always use firewood. It brings out a special flavour. Gas and charcoal cannot give you that same smoky taste. My customers expect it.”

But even warnings from doctors cannot keep some people away. Amina, a 37-year-old married woman, recalled: “There was a time I was sick, and the doctor told me to avoid smoky areas because of my eyes. But how can I stop? Firewood is what I grew up with. It is not just about cooking. It is about sitting together as a family, sharing stories, and working around the fire. That memory cannot be replaced.”

Cost is another factor. Mallam Usman, a 42-year-old man, explained: “I use both charcoal and firewood. The least charcoal I can buy is ₦200, while firewood is more expensive, up to ₦500. But I prefer firewood. My wife is already used to it. Sometimes I buy charcoal to ease the work, but mostly we use firewood because that is what we have always been using.”

Abdulmumin, a firewood seller in Rumfar Shehu who is over 40, said many people still depend on his trade. “People still come to buy firewood every day. Even though the price is high, food vendors, households, and event caterers still buy it. Firewood is something people cannot abandon. We have been using it since the time of our grandparents, and it still holds memories.”

But experts warn that firewood comes at a cost. According to a 2024 report from the National Bureau of Statistics published in Punch newspaper, 67.8 per cent of Nigerian households still cook with firewood. In Bauchi State, the figure is as high as 91 per cent. Doctors interviewed by Punch Healthwise have cautioned that prolonged exposure to smoke can lead to lung disease, eye problems, and respiratory infections. They noted that women and children, who spend long hours near smoky kitchens, are especially at risk. One pulmonologist, Dr. Abiona Odeyemi of Osun State University Teaching Hospital, explained that smoke from firewood damages the lungs over time, leading to serious health conditions.

Experts have also raised concerns about the environmental impact. Firewood use contributes to deforestation, worsens climate change, and adds to indoor air pollution.

Still, the flames continue to glow. For some, firewood carries memory and tradition. For others, it remains the more affordable choice. And for many, it is simply the way they were raised. Gas may be quicker and charcoal less smoky, but in countless Nigerian homes, firewood still burns, not just as fuel, but as a link between the past and the present.

Khadija Hamisu Daninna wrote via khadijahamisu2003@gmail.com.

By Uzair Adam 

The Aminu Kano Teaching Hospital (AKTH), in collaboration with the King Salman Humanitarian Aid and Relief Centre and the Al-Balsam Association from Saudi Arabia, has successfully conducted free open-heart surgeries for patients in Kano.

Speaking to journalists about the development, the Head of the Cardiothoracic Surgery Unit at AKTH and team lead for the local medical team, Dr. Jamil Ismail Ahmad, said the initiative has brought relief to many patients who cannot afford treatment abroad.

“Normally, open-heart surgery costs between eight to ten million naira in Nigeria. But here, patients are getting it almost free of charge. 

“Outside the country, it would cost between 25 to 30 million naira, including logistics. This partnership is therefore very important,” Dr. Ahmad explained.

He noted that patients with heart diseases who require surgery but have no high-risk complications are usually considered for the program, stressing that safety remains a top priority.

“Some patients are excluded because their cases were neglected for too long, and operating on them would be too risky. Our key watchword is safety — we want to ensure that after surgery, patients are in much better condition than before,” he said.

Dr. Ahmad commended the partnership with the King Salman Humanitarian Aid and Relief Centre, describing it as highly supportive in both service delivery and local capacity building.

“Such collaborations are important globally, not only for providing services but also for building local capacity. The visiting team shares its expertise, which enhances our training and helps us sustain these services,” he added.

On patient outcomes, he revealed that survival rates in previous missions with the same team ranged between 80 and 90 per cent, and similar results are expected this time.

Dr. Ahmad also called on the government, philanthropists, and the private sector to support such initiatives, noting that investment in infrastructure, human resource training, and collaboration would strengthen healthcare delivery.

On his part, Dr. Abdullah, the team leader of the King Salman Humanitarian Aid and Relief Centre, emphasised the challenges of delivering such care in underserved regions like Nigeria, Sudan, and Yemen.

“Patients often present late because they were neglected for years. Some should have undergone surgery 10 or 20 years ago before developing complications that now make operations riskier. 

The best approach is continuous local services and proper screening. This saves lives and is more cost-effective than patients spending millions abroad in Europe, India, or North Africa,” he said.

He disclosed that so far, five patients had undergone surgery in Kano, with plans for six more cases in the following days. 

Dr. Abdullah praised the dedication of AKTH staff, including doctors, nurses, technicians, blood bank staff, and even cleaners, saying their support was crucial to the success of the program.

One of the beneficiaries’ relatives, Fatima Muhammad, expressed gratitude, saying her family could not have afforded the surgery if they had been asked to pay.

By Abdullahi Mukhtar Algasgaini

 A 44-year-old Tanzanian man seeking treatment for pus discharge from his right nipple was stunned to learn he had been living with a large knife embedded in his chest for nearly a decade, doctors revealed in a recent medical report.  

The patient, who had no major health complaints apart from the infection, recalled being stabbed multiple times during a violent altercation eight years ago. At the time, doctors sutured his wounds but lacked the equipment to conduct an X-ray. Since he reported no pain afterwards, further investigation was never pursued.  

However, when the man visited Muhimbili National Hospital recently, an X-ray uncovered an astonishing sight—an 8-inch knife lodged near his ribcage. Miraculously, the blade had missed all vital organs.  

Surgeons successfully removed the knife along with dead tissue and pus. The patient recovered well after a brief ICU stay and was discharged within 10 days.  

Doctors described the case as “extremely rare,” noting that the body had formed a protective layer around the blade, preventing severe complications. The findings were published in the National Library of Medicine, highlighting the importance of thorough trauma assessments.

By Anna Gabriel Yarima

I write to and call and throw a challenge at all graduated health educators and the potential ones concerning the deadly diphtheria disease that annually claims the huge number of lives of infected Nigerians, which, according to reports, is more than 1,376 deaths being recorded in the high-burden states infected with the cases: Kano, Yobe, Katsina, Bauchi, Borno, and Kaduna states. And, from around 2022 to 2023, WHO reported that over 600 deaths were recorded with a case fatality ratio of 13% among confirmed cases in the past.

Instead of the cases significantly dropping annually, on 14th January 2024, according to the WHO African Region Health Emergency Situation Report, “A cumulative total of 27,991 suspected cases of diphtheria resulting in 828 fatalities have been reported across Nigeria, Guinea, Niger, Mauritania, and South Africa. Nigeria is the most severely affected, accounting for 80.1% of cases and 72% of deaths.” Even though the cases in Nigeria are underreported.

The deadly diphtheria that is caused by exotoxin-producing Corynebacterium diphtheriae is spread between people mainly by direct contact or through the air via viral respiratory droplets. The disease can affect all age groups; however, unimmunized children are particularly at risk.

Therefore, avenues for an awareness have to be created by the health educators in our communities so as to make parents ’fully informed of the signs and symptoms of the disease as well as the dangers of being infected and how easily uninfected children could be infected. Though vaccine-preventable it is!

The government at all levels has to be very cautious in attacking the deadly diphtheria that consumes lives annually. I therefore suggest the federal government collaborate with primary health care centres across the nation so as to have unimmunised children who are at risk immunised.

I hope the Coordinating Minister of Health and Social Welfare will put more effort into making sure that the number of cases and deaths that are recorded annually are reduced or totally diminished.

Anna Gabriel Yarima writes from the Department of Mass Communication, University of Maiduguri.

By Oladoja M.O

In the annals of Nigeria’s healthcare odyssey, the narrative has long been marred by systemic inertia, infrastructural decay, and a pervasive sense of despondency. For decades, the nation’s health sector languished in a state of neglect, characterized by underfunded primary healthcare centers, a dearth of medical personnel, and an overreliance on foreign aid. The corridors of our hospitals echoed with the silent cries of the underserved, while policymakers offered platitudes devoid of actionable substance.

Enter the administration of President Bola Ahmed Tinubu in May 2023, heralding a paradigm shift that seeks to redefine the contours of Nigeria’s health landscape. At the heart of this transformation lies the comprehensive overhaul of the Basic Health Care Provision Fund (BHCPF), a mechanism previously crippled by bureaucratic bottlenecks and inadequate financing.

The reimagined BHCPF now boasts a projected infusion of at least $2.5 billion between 2024 and 2026, a testament to the administration’s commitment to fortifying the primary healthcare system. This financial renaissance is not merely a numerical augmentation but a strategic realignment aimed at enhancing service delivery at the grassroots.

The direct facility funding to primary healthcare centers has been escalated from ₦300,000 to a range between ₦600,000 and ₦800,000 per quarter, ensuring that resources are channeled efficiently to where they are most needed. Such fiscal decentralization empowers local health facilities, fostering a sense of ownership and accountability that was hitherto absent.

Complementing this financial strategy is an ambitious infrastructural agenda. The administration has embarked on a mission to double the number of functional primary healthcare centers from 8,809 to over 17,600 by 2027, a move poised to bridge the accessibility gap that has long plagued rural and underserved communities. These centers are envisioned not as isolated units but as integral components of a comprehensive emergency care system, ensuring a seamless continuum of care.

Human capital development forms another pillar of this transformative agenda. Recognizing the critical shortage of healthcare professionals, the government has initiated the training of 120,000 frontline health workers over a 16-month period, encompassing doctors, nurses, midwives, and community health extension workers. This initiative not only addresses the immediate workforce deficit but also lays the groundwork for a resilient health system capable of withstanding future shocks.

In a bold move to stimulate local pharmaceutical production and reduce dependency on imports, the administration has eliminated tariffs, excise duties, and value-added tax on specialized machinery, equipment, and pharmaceutical raw materials. This policy is anticipated to catalyze the domestic manufacturing sector, ensuring the availability of essential medicines and medical devices while fostering economic growth.

Public health initiatives have also received a significant boost. Nigeria has become one of the first countries to roll out the Oxford R21 malaria vaccine, a landmark development in the fight against a disease that has long been a scourge in the region. Additionally, the administration has launched targeted programs aimed at reducing maternal and neonatal mortality, focusing on 172 local government areas that account for a significant proportion of such deaths.

However, amidst these commendable strides, challenges persist. The sustainability of these reforms’ hinges on robust monitoring and evaluation frameworks to ensure transparency and accountability. The specter of corruption, which has historically undermined health sector initiatives, must be vigilantly guarded against. Furthermore, the success of these programs requires the active collaboration of state governments, civil society, and the private sector.

In conclusion, the Tinubu administration’s approach to healthcare reform seemingly represents a departure from the perfunctory gestures of the past. It is a comprehensive, well-funded, and strategically articulated plan that addresses the multifaceted challenges of the sector. While the journey towards a fully revitalized health system is fraught with obstacles, the current trajectory offers a beacon of hope. It is imperative that all stakeholders coalesce around this vision, ensuring that the momentum is sustained and that the promise of accessible, quality healthcare becomes a reality for all Nigerians.

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

By Arita Oluoma Alih

Medical science has evolved significantly over the centuries. One of the most remarkable breakthroughs in this journey is the art and science of surrogacy, a practice where a woman carries a child in utero (in the womb) on behalf of another woman or couple, whose egg and sperm are fertilised in a laboratory to form an embryo before being implanted into the surrogate mother.

The choice to become a surrogate mother is bestowed upon a woman who undergoes the implantation process, a complex journey that undoubtedly results in experiencing discomfort, physical and emotional pain.

Regardless of the outcome, these pains persist as the foetus develops during the nine-month gestation period, which comes with its own set of challenges, including hormonal imbalances and resultant body changes.

Becoming a surrogate mother is not a knee-jerk decision. Financial challenges, especially in developing societies like ours, and sympathy – a woman wanting to help another woman who has been struggling to conceive or whose womb has been certified unfit to carry a child by a medical professional – are often underlying motivations.

Intended parents also do not jump into surrogacy headfirst; they may have tried other means before settling for such a tedious process. Others, however, would opt for it due to tokophobia – the fear of childbirth. For this group, it is a case of better safe than sorry. 

Other phobias that make couples consider surrogacy include the fear of losing the baby inside the womb, medically known as stillbirth; fear of dying during childbirth; fear of excessive weight gain and other bodily and hormonal changes; fear of mom brain; and baby blues, among others. 

With all these factors in mind, it is mind-boggling that a woman should go the extra mile to carry and birth another person’s child, only to be left high and dry without any form of compensation!

On May 26, 2025, the House of Representatives initiated legislative action to prohibit commercial surrogacy in Nigeria and establish a framework to regulate the practice solely for non-commercial, altruistic purposes. This move follows the introduction of “A Bill for an Act to Protect the Health and Well-being of Women, Particularly in Relation to Surrogacy and for Related Matters”.

The provisions in the Bill that stipulate ‘explicit protection against coercion or forced surrogacy arrangements’ and ‘mandating counselling for both surrogate mothers and intended parents’ are highly commendable. This is particularly important given instances where intended parents reject babies based on gender preferences; counselling would help them understand that they must accept the child wholeheartedly, regardless of gender.

Another twist that underscores the importance of counselling is that, in some cases, surrogate mothers have fought for and claimed ownership of the child, despite prior agreements.

Secondly, the “endorsement of only altruistic surrogacy, where no financial profit is involved except for reimbursing medical and pregnancy-related matters” is a point of contention. Surrogate mothers should be fairly compensated financially for their role, based on mutually agreed-upon terms and conditions between both parties.

While the bill in itself may be altruistic, it should consider monetary compensation for women who render such a difficult and time-consuming service, thereby providing them with the necessary tools to maintain proper mental and physical well-being after childbirth.

Since the bill seeks to protect the rights of women involved in surrogacy and other parties, the legislators should consider several key factors: What happens if a surrogate mother loses her life? What if a stillbirth occurs? What provisions are made for aftercare? What if the pregnancy leaves the surrogate mother with long-lasting health issues, such as hypertension or diabetes? Addressing these questions will provide balance and add depth to the Bill.

The monetary compensation should be seen as a form of consolation for these surrogate mothers when all is said and done. However, Senator Uchenna Okonkwo, who represents the Idemili North/Idemili South Federal Constituency of Anambra State and sponsored the bill, may have his reasons, which I won’t speculate about. Nevertheless, the bill warrants a second look to make it more comprehensive.

Lastly, it is no news that baby farms are hotbeds for illicit activities, including human trafficking. Criminalising commercial surrogacy might inadvertently fuel these underground enterprises, whereas a more critical look at the bill to include compensating surrogate mothers could nip the problem in the bud.

Arita Oluoma Alih is a student of the International Institute of Journalism. She writes from Abuja and can be reached at aritaarit118@gmail.com.