Construction of Primary Health Care in Kwajale: What is causing its delays?
By Abdulaziz Isah Bagwai
After the Asr prayer on a rainy Monday, Jummai, who was pregnant, was sweeping her courtyard when her daughter Laure returned from the river, where she went to fetch the water they would use for the chores. “Assalamu alaikum,” Laure greeted as she entered the house and poured the water she fetched in a rubber bucket into a large pot.
Jummai, an all-female mother of five, had prayed endlessly during the day and night for a male child, and since the miracle of this pregnancy, her prayers have doubled. She’d often wake up in the middle of the night to remind God of her prayers and to jokingly remind Him that He’d promised to answer good prayers. Hers was.
One night in September, Jummai began her labour with low and intensifying moans that woke Baban Laure, her husband, whose sleeping groans filled the noiseless room. “What’s happening? Are you well?” He inquired in a low, creaking tune. She couldn’t answer him, but in her moans, he understood she was calling God for aid into her large tummy, and when he grabbed his torchlight, he saw that she was holding the belly tightly.
Baban Laure rushed to his neighbour, Rakiya, a traditional birth attendant. Upon their arrival, Rakiya confirmed that it was labour, but the condition was beyond her basic skills; hence, he should take his wife to the primary health care facility in Bagwai.
Amidst preparation, Jummai continued to bleed, and Baban Laure suggested that “if not for the bleeding, we could manage to wait until the morning when the staff of our health post come.” Baban Laure suggested this to Rakiya, who was engrossed in controlling the seemingly unending bleeding. Baban Laure said they could only travel to Bagwai on bikes that night of misery because the only person who had a car wasn’t in town.
Jummai gave birth to a beautiful baby boy at around 4:00 a.m., whom she was unable to see immediately until the day broke. “Where’s my baby?” She asked. But the strolling tears in Rakiya’s eyes told her everything. The baby is dead, she understood, with a bit of desperation in her face. When the birth attendant was telling Rakiya to report on time in emergency cases like this because the baby died as a result of oxygen starvation, which was, of course, due to the excess blood she had lost, she understood that her baby was a boy. Before Rakiya arrived at her bed to calm the tears that formed rivers in her eyes, she lay there stranded, unconscious, and was admitted for two weeks!
What is behind the pause of Kwajale Comprehensive Health Center’s construction project?
Had this project been completed and launched today, there would’ve been a 24-hour medical service in this village, which could’ve saved the life of Jummai’s baby boy that she had wished and prayed for.
“This project has put light on many faces in Kwajale, for it was initiated when our clinic and the services we rendered were insufficient for the community,” said Saifullahi, a healthcare worker at Kwajale Primary Health Post.
“When the construction started, we were assured that it wouldn’t take long to be completed, and we agreed to their assertion because they worked with an enthusiastic speed,” Saifullahi continued.
Who are the contractors?
It was a federal government project awarded in 2007 by the Association of Local Government of Nigeria (ALGON) to Mathan Nigeria Limited. This indigenous engineering company had quietly touched the lives of Nigerians long before it got caught in the eye of the storm because an April 2nd, 2012, Premium Times report stated that “Abandoned N37 billion health centre projects rot away nationwide.” However, “the contractor Mathan Nigeria Limited is insisting on a variation of the original contract sum.”
However, on October 24th, 2023, Platform Times reported that “After 16 years, ALGON disburses equipment to [an] abandoned hospital in Ogun [State].” Although this report might’ve meant ALGON was on another different project with a different contractor, the report continued to read, “The equipment, which was part of a federal government project awarded in 2007, was delivered to the health centre on Monday by a contractor, Mathan Nigeria Limited.”
Why the failed project in Kwajale is different
“We’re a little bit far from Bagwai [town], and we do not have good roads; referred patients suffer a lot [in the day, not to mention at night, and even in the dry season, speak less of the rainy season] along the way.” Malam Umar, a community member, lamented.
“We’ve been given classes to continue with our activities because the building meant for the primary health post has been under renovation for years now, but no progress has been made yet,” said Malama Aisha, the head of Kwajale Health Post.
“A non-governmental organisation (NGO), the United Nigerian Youth Forum (UNYF), has urged the Department of State Services (DSS), the police, other security agencies, and the Economic and Financial Crimes Commission (EFCC) to probe the contractor handling the construction of health centres across the country. The forum accused the contractor, Mathan Nigeria Limited, of abandoning the N57 billion contract, which the forum said had led to the deaths of many Nigerians.” Leadership news report.
Ali Muhammed, the UNYF’s spokesperson, alleged that the contractor’s negligence had caused the deaths of hundreds of expectant mothers who ought to have safely delivered their babies at the health facilities if the projects had been completed on time.
For 17 years now, the remedy for the continued pain like Jummai’s in Kwajale is still uncalled for; no medical condition is manageable at night in Kwajale, their bad roads are yet the same, and patients still suffer along the bicycle-and-motorcycle-only road.
