Features
Transforming Nigeria’s Health Sector For Greater Livelihood
Nigeria’s health sector is one that has suffered all forms of neglect as other key sectors, such as education. At almost 62 years (by October 1), and blessed with enough resources, both human and capital, the country, by all standards, should have been more developed to the point of contending for a World Power status. But this is obviously not the case. Historically, though, Nigeria has undergone various forms of development: from the days of colonial rule, through self rule characterised by years of military dictatorship with intermittent civilian rule, to the present day democracy, the country could easily be said to have seen the good, bad, and ugly of its existence as a country.
Unfortunately, however, this has not reflected in what the country has become today by global consideration, compared to even some countries that have far less resources to boast of, and hence considered poorer.
Consequently, its history, particularly the nasty side, keeps repeating itself, and this manifests in virtually all sectors of the country’s being, one of which is the Health Sector. Like all sectors of Nigeria’s economy, the health sector has not been given the attention it deserves, resulting in not just those who have the wherewithal to seek effective and reliable health care outside the shores of the land, but also brain drain of the country’s finest health care providers to other countries. Nigeria, no doubt, currently faces tremendous health challenges. Experts have at various points sought to identify these challenges from different perspectives. In spite of the diverse reasons they arrived at, all are agreed on three: Corruption, Lack of proper funding, and Bad (or poor) management of resources.
Available statistics on Nigeria’s health sector paint a grim picture: an average of 20,000 Nigerians travel to India each year for medical assistance due to the absence of a solid healthcare system at home; and Nigeria is responsible for a high amount of under-five child death. In a recent report, the United Nations Children Education Fund (UNICEF) said “preventable or treatable infectious diseases such as malaria, pneumonia, diarrhea, measles and HIV/AIDS account for more than 70per centof an estimated one million under-five deaths in Nigeria”. The World Health Organisation (WHO) also stated in another report that nearly ten percent of newborn deaths in the world last year occurred in Nigeria, and that five countries accounted for half of all newborn deaths, with Nigeria third on the list.
These countries are India (24 per cent), Pakistan (10per cent), Nigeria (9per cent), the Democratic Republic of the Congo (4per cent) and Ethiopia (3per cent). Most newborn deaths occurred in two regions: Southern Asia (39per cent) and sub-Saharan Africa (38per cent). Although some other studies, like the Global Burden of disease, show steady improvements in child survival rates, the persistent rate of avoidable deaths in Nigeria truly calls for concern. The question that readily comes to mind is why Nigeria’s health sector is in such precarious state, given its human and capital resources, which are globally acclaimed as the best? Is it the result of lack of personnel? This is not likely, considering that about 77per cent of African American doctors in the United States (US) are Nigerians.
In fact, Nigerians have achieved notable feats in American medicine to the point that there is now a popular joke that if all Nigerians withdrew their services from the health sector in the US, the sector would collapse. In this wise, the story of the Nigerian Doctor, Oluyinka Olutoye, based in Houston, is still very fresh: he made history not long ago by bringing out a foetus from a mother’s womb, removed a tumour, and then successfully restored the unborn baby in the womb. there is hardly any top medical institution in the US or Europe where you will not find Nigerians managing at the top echelon. Universities, both in Nigeria and abroad, annually churn out hundreds of qualified medical doctors that could compete favourably with their peers in the globe to a reasonable extent, even with the disadvantage of a beleaguered educational system suffering from the same plague as its health counterpart.
This brings one to the issue of corruption in Nigeria’s health sector, which, not surprisingly, is only a manifestation of what all other sectors of the economy are and which ultimately points to the fact that those who are in governance have not deemed it necessary to improve the sector, knowing that they could afford the best treatment in the world. Government’s performance in the health sector in terms of creating the enabling environment for the development of the health sector, at best, has been abysmal. Investment in infrastructure has been poor and meager remuneration for health workers has resulted in a massive brain drain to the US and Europe, where they are highly taken care of. According to the President of the Medical and Dental Consultants Association of Nigeria (MDCAN), Dr Victor Makanjuola, more than 100 of its members left the country in the past 24 months. As at 2020, Nigeria had a doctor-patient ratio of 1:2,753, in sharp contrast to the World Health Organisation’s (WHO) minimum recommended ratio of 1:400 or 600. In his words, “the mass exodus of medical and dental consultants to more developed countries has brought significant disruptions to Nigeria’s health care ecosystem”.
Meanwhile, the annual budget of the government for the health sector is 4.17per cent of the total national budget, which is the equivalent to only $5 per person per year. Hardly does a year pass without a major national strike by nurses, doctors, or health consultants. The major reasons for these strikes are poor salaries and lack of government investment in the health sector. Unfortunately, many Nigerians cannot afford services of private hospitals, because they are simply too expensive. Finance is obviously a major problem for patients. Consequently, it would not be out of place for one to think that management of the National Health Scheme (NHS) through the Health Maintenance Organisations (HMOs) would help people secure better quality health care. But, here, again, corruption has crushed this opportunity and made quality medical care inaccessible for people who contributed to the system, because they do not get the value of their contribution. In terms of funding, despite the myriads of healthcare issues experienced by Nigerians, the Federal Government has continued to pay lip service to funding the health sector.
With each subsequent Minister of Health in Nigeria, the country’s return to democratic rule in 1999 assumes office with high hopes of transforming the health sector, majority of them left the position with little or no positive effect to the sector, and, by extension, not making any significant impact on the health of Nigerians. Some even left the sector worse off. This is partly due to their poor policy formulations, leadership styles, or insurmountable challenges they met on ground, which also include the unwillingness of relevant authorities, such as the Presidency and National Assembly, to do the needful. Global economic and development experts have often said for any nation to be considered strong economically, and on human capital development, it must have given priority to the education, and health of its citizenry.
This seems to be why in April 2001, members of the African Union (AU), including Nigeria, met in Abuja and agreed to allocate 15 per cent of their national budgets to the health sector with the belief that if this was done, the poor health indices across the continent would be resolved in five years. Unfortunately, Nigeria could not use the same clout it exhibited in bringing these countries together to make that “Abuja Declaration” come alive: Nigeria had since then refused to honour an agreement it played host to 21 years ago, resulting in the poor health indices, high mortality rate and reduced life expectancy rate currently experienced in the country.
Since the declaration, the highest health allocation for Nigeria was in 2012 where 5.95 per cent was allotted to the health sector. In 2014, it allocated N216.40 billion (4.4per cent) , in 2015, it was N237 billion (5.5per cent), while in 2016 and 2017 it was 4.23per cent and 4.16per cent respectively. 2018 followed the same trend, with further reduction of the proposed health sector allocation from 4.16 per cent in 2017 to 3.9 per cent, even with the ever growing health sector concerns. Meanwhile, (WHO) says, for Nigeria to be seen to prioritise healthcare, it must at least spend a minimum of N6, 908 per Nigerian in a year. When multiplied by 200 million people it will amount to N1.4 trillion. WHO, also recommended a minimum of 13 per cent of annual budget for health.
Notably, the Nigerian Government has not tilted towards the WHO’s 13 per cent, not to talk about the AU’s 15 per cent, even as some countries have started raising their health budgetary allocation towards fully keying into the WHO recommendation of 13 per cent or the Abuja Declaration by the African Union of 15 per cent. Rwanda, for instance, reportedly devoted 18 per cent of its total 2016 budget to healthcare; Botswana budgeted 17.8 per cent; Malawi, 17.1 per cent; Zambia, 16.4 per cent; and Burkina Faso, 15.8 per cent. Nigeria, on the other hand, still lags behind in this regard, a situation that has had direct consequences on the funding capacity of the Health Ministry and its affiliated agencies and parastatals, thereby making the fight against poor healthcare very unrealistic. For instance, while N340 billion was allocated to the health sector in the 2018 national budget, how much was indeed released by the Federal Government to the sector at the end of the day, and how much was actually spent could not be ascertained. This brings to the fore the challenge of “bad management of resources”, which are even in adequate at the point of allocation, and possible release, which cannot be ascertained.
This scenario vividly captures the situation at the lower two tiers of the health sector – State and Local Government – which even spend far less in percentage. Here, however, Rivers State stands out, as the incumbent Governor, Nyesom Wike, made the health sector part of his priority. Since he assumed office in 2015, He has touched virtually all facets of the health sector from infrastructural development, through provision of equipment, and man power development for the sector. It started with the workforce in the primary healthcare community, which was on strike, and the secondary health care sector, which was either shut down or facilities dilapidated when he assumed office. Governor Wike quickly swung into action with what later became his characteristic energy and proactive leadership style by first recalling the striking Primary Health workers to work, and also paid House Officers at the then Braithwaite Memorial Specialist Hospital (BMSH) their outstanding dues and allowances, inherited from the previous administration.
The question likely to be playing in the hearts of keen observers of the health sector in the State may not be far from whether his successor can continue from where he will stop at the end of his tenure. At the Federal level, there have been calls for a way forward. Most of such calls harp on the need for policy makers in the country and health professionals in Nigeria and the Diaspora to come together and come up with a blue print for the sector. Such blueprint should have a time frame for each stage, and be genuinely followed to the letter. They also propose a genuine and deliberate effort by the Federal Government to meet either the WHO’s 13 percent or AU’s 15 percent of total budget to the development of the health sector in terms of infrastructural and human capacity development, and equipment, as well as ensure that such monies are put into the use they are meant for.
By: Sogbeba Dokubo
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Features
Empowering The Girl Child,Building A Future Where Every Girl Can Thrive ?
Every girl deserves the opportunity to learn, the freedom to dream, the right to live without fear and the chance to determine the course of her own future.
Yet, for millions of girls around the world, these opportunities remain difficult to access. Some struggle to obtain quality education, while others face discrimination, early marriage, gender-based violence and social expectations that limit their ambitions. For many, the challenge begins in childhood, when decisions about their lives are made without giving their voices the attention they deserve.
October 11, observed annually as the International Day of the Girl Child, provides an opportunity to reflect on these challenges and renew the commitment to protecting girls’ rights and empowering them to reach their full potential.
The day also raises an important question: how can societies talk about a better future for girls while some of them continue to face barriers to education, safety, equality and opportunity?
For Nigeria, where girls are growing up in communities with different social, economic and cultural circumstances, the occasion offers an opportunity to examine the progress made, recognise the challenges that remain and consider the responsibilities of families, communities and government in securing a better future for every girl.
From Recognition to Action
The International Day of the Girl Child was established by the United Nations and first observed on October 11, 2012. It was created to recognise the rights of girls and draw attention to the particular challenges they face across the world.
Its significance extends beyond a yearly celebration. It highlights the need for societies to address the inequalities that prevent girls from enjoying the same opportunities, protection and dignity as their male counterparts.
Girls have the right to education, healthcare, safety, participation and equal treatment. They also have the right to express their opinions, develop their abilities and make decisions about their futures in accordance with their age and evolving capacities.
These rights are not privileges to be granted only when families can afford them or when communities consider them convenient. They are part of the wider commitment to protecting the dignity and development of every child.
The observance also recognises that girls are not simply beneficiaries of development programmes. They are potential scientists, teachers, journalists, entrepreneurs, doctors, engineers, public servants and community leaders whose contributions can shape the future of their societies.
When girls are given the opportunity to develop their abilities, the benefits extend beyond individual achievement to families, communities and the wider economy.
The Nigerian Girl Child
In Nigeria, the experiences of girls differ considerably depending on their family circumstances, location, access to education and the opportunities available within their communities.
Some girls attend well-equipped schools, participate in extracurricular activities and receive support to pursue their ambitions. Others face difficulties that threaten their ability to complete their education or develop their full potential.
Poverty remains a significant concern for families struggling to meet basic needs. In some households, girls may be expected to undertake extensive domestic responsibilities, care for younger siblings or contribute to family income at the expense of their education.
For girls in rural and underserved communities, the distance to school, inadequate facilities, limited access to learning materials and other practical barriers may make education difficult to sustain.
Insecurity can create additional risks, particularly where families fear sending their children to school or where displacement interrupts their education.
These challenges do not affect every Nigerian girl in the same way. However, they demonstrate why protecting the rights of girls requires more than general statements about equality. It requires practical action that addresses the circumstances preventing them from accessing opportunities.
A girl who cannot attend school because her family cannot afford the necessary expenses needs support that makes education accessible. A girl exposed to abuse needs protection and access to appropriate services. A girl whose ambitions are dismissed simply because of her gender needs an environment that recognises her abilities.
The responsibility is to ensure that the circumstances of a girl’s birth do not determine the limits of her future.
Education: Opening the Door to Opportunity
Education remains one of the most important ways to empower the girl child.
Through education, girls acquire knowledge, develop critical thinking skills and gain a better understanding of their rights and responsibilities. Schooling can also expand their employment opportunities and help them make informed decisions about their lives.
An educated girl is better positioned to understand the choices available to her, participate in community life and contribute to social and economic development.
However, access to education alone is not enough. Girls must also be able to learn in safe environments, receive quality instruction and complete their education without discrimination or unnecessary barriers.
Parents and guardians have an important role in ensuring that girls are encouraged to attend school and are given the support needed to continue learning.
Schools, in turn, must provide environments where girls are protected from harassment, bullying and discrimination. Teachers can help by treating students fairly, encouraging participation and challenging assumptions that certain subjects or careers are suitable only for boys.
Government also has a responsibility to strengthen educational infrastructure, improve learning conditions and address the financial and social barriers that keep children out of school.
The goal should not simply be to enrol more girls in classrooms. It should be to ensure that every girl has a genuine opportunity to learn, complete her education and use the knowledge she acquires to build a meaningful future.
When Tradition Becomes a Barrier
Culture and tradition are important parts of community identity. They preserve history, strengthen relationships and provide a sense of belonging.
However, certain practices and social expectations can restrict girls’ rights and opportunities when they place greater value on gender than on individual ability and well-being.
In some communities, girls may be discouraged from pursuing higher education because marriage and domestic responsibilities are considered more important. Others may face pressure to abandon their ambitions or accept decisions made without their participation.
Child marriage remains another serious concern in Nigeria. When a girl is married before adulthood, her education, health, safety and personal development may be placed at risk.
Such situations highlight the importance of protecting children while encouraging communities to examine practices that undermine their rights.
Empowering girls does not require rejecting every cultural tradition. It requires preserving what strengthens communities while addressing practices that expose children to harm or deny them opportunities.
Community leaders, parents, educators and religious institutions can contribute by promoting the value of girls’ education, supporting their development and speaking against harmful practices.
A community’s strength should not be measured by how effectively it restricts the ambitions of its girls, but by how well it protects its children and prepares them for the future.
Protecting Girls from Violence and Abuse
A discussion about empowering girls cannot be complete without addressing their right to safety.
Girls may face different forms of abuse, including sexual violence, physical punishment, exploitation, bullying, harassment and harmful treatment within homes, schools and communities.
Some incidents remain unreported because victims fear blame, retaliation or public humiliation. Others may lack access to trusted adults or services capable of helping them.
The consequences can be serious, affecting a girl’s physical health, emotional well-being, education and ability to trust others.
Protecting girls requires adults and institutions to take reports of abuse seriously and respond in ways that prioritise the child’s safety and dignity.
Parents and guardians should encourage open communication so that girls feel able to report situations that make them uncomfortable or unsafe. Schools need clear procedures for reporting and responding to abuse, while relevant authorities must ensure that children can access appropriate protection and support.
Girls should also receive age-appropriate information about personal safety, boundaries and where to seek help.
Importantly, the responsibility for preventing abuse belongs to those who commit it and to the institutions responsible for protection. Girls must never be blamed for violence or exploitation directed against them.
A society that celebrates the girl child must also be prepared to defend her rights when those rights are threatened.
Health, Confidence and the Freedom to Dream
Empowerment also means ensuring that girls can grow up healthy, confident and informed about their bodies and well-being.
Access to healthcare, adequate nutrition, clean water, sanitation and accurate health information is essential to their development.
For adolescent girls, menstrual health is particularly important. Where sanitary products, private toilets or reliable information are unavailable, menstruation can create practical difficulties that affect attendance at school and participation in daily activities.
Families, schools and relevant institutions can help by providing accurate information, challenging harmful misconceptions and ensuring that girls have access to appropriate facilities and support.
Emotional well-being also deserves attention. Girls who experience discrimination, bullying, abuse or constant pressure to meet unrealistic expectations may struggle with confidence and self-worth.
Encouragement from parents, teachers and trusted adults can help them recognise their abilities and develop the confidence to pursue their goals.
A girl should not have to choose between being accepted by society and believing in her own potential.
She should be able to explore her interests, develop her talents and imagine a future that reflects her abilities, values and ambitions.
The Role of Parents, Schools and Government
Empowering the girl child is a shared responsibility.
Parents and guardians are often the first people who shape a girl’s understanding of her worth and potential. Their encouragement can influence whether she feels confident enough to pursue education, express her views and aspire to leadership.
Providing equal encouragement to girls and boys, sharing household responsibilities fairly and listening to girls’ concerns are practical ways families can promote equality at home.
Schools must ensure that girls have equal opportunities to learn, participate in activities and develop leadership skills. Teachers should challenge gender stereotypes and encourage girls to explore subjects and careers based on their interests and abilities.
Government institutions also have a responsibility to protect children’s rights through effective laws, policies, educational support and accessible protection services. Laws must be implemented, and families should be able to seek help when a child’s safety or rights are threatened.
Communities, civil society organisations and the media can support these efforts by educating the public, drawing attention to harmful practices and highlighting positive examples of girls overcoming barriers.
The media, in particular, can help change public attitudes by portraying girls as active participants in development rather than limiting their stories to vulnerability and suffering.
Together, these efforts can create an environment in which girls are protected, heard and given the opportunity to contribute meaningfully to society.
Beyond October 11
The International Day of the Girl Child is an important reminder, but the protection and empowerment of girls cannot be achieved through a single day’s activities.
It requires sustained action in homes, schools, workplaces, communities and public institutions.
It means ensuring that a girl from a low-income family has access to education, that a girl living in a rural community is not forgotten in development planning, and that a girl who reports abuse receives appropriate protection rather than blame.
It also means listening to girls when decisions affect their lives and including their perspectives in discussions about education, healthcare, safety and development.
The measure of progress is not simply the number of speeches delivered or campaigns organised. It is whether girls are safer, better educated, healthier and more able to make meaningful choices about their futures.
Every girl deserves the opportunity to grow without violence, learn without discrimination and pursue her ambitions without being limited by harmful expectations.
A Future Where Every Girl Can Thrive
The future of any society is closely connected to the opportunities available to its children.
When girls are educated, protected and encouraged to develop their abilities, they are better positioned to contribute to their families, communities and the wider society. When their rights are neglected, the consequences can extend far beyond the individual child.
As the world marks October 11, the message to Nigeria and the international community is clear: empowering girls begins with recognising their rights and continues through the practical steps taken to protect them.
It begins with a parent who encourages a daughter to remain in school, a teacher who recognises her potential, a community that rejects harmful practices and institutions that respond seriously when her rights are violated.
It also requires a willingness to question beliefs and practices that deny girls the freedom to learn, grow and participate in society.
A girl’s future should not be determined by poverty, discrimination or the assumption that her ambitions matter less than those of a boy.
Every girl deserves the chance to discover what she can become.
On this International Day of the Girl Child, the call is not merely to celebrate girls, but to protect their rights, invest in their education, listen to their voices and create a society where every girl has the freedom and opportunity to thrive.
Because empowering a girl is not simply about changing her life today. It is about helping to build a future in which her dignity is respected, her potential is recognised and her rights are protected every day.
Davies Christian Nelson & Dominic Emediong Emmanuel
Dr Davies is the Director of Publications, Rivers State Ministry of Information and Communications.
Features
Beyond Tradition As Stakeholders Seek Collaboration To End FGM In Rivers
For generations, Female Genital Mutilation(FGM) has remained one of the most deeply entrenched harmful traditional practices affecting women and girls across many societies.Sustained largely by cultural beliefs, misconceptions and long-standing norms, the practice has continued despite increasing global awareness of its severe health, psychological and human rights consequences.
In Nigeria, however, growing public awareness, stronger legal frameworks and coordinated interventions by government institutions and development partners are gradually changing the narrative.Although significant progress has been recorded, experts insist that achieving the complete eradication of female genital mutilation requires more than legislation. It demands sustained collaboration, continuous public enlightenment, community ownership and the willingness to challenge harmful practices that have endured across generations.
To this end, stakeholders in Rivers State have renewed calls for stronger collaboration, sustained public enlightenment and community ownership in the fight against Female Genital Mutilation (FGM), warning that the harmful practice cannot be completely eradicated through legislation alone.
The call was made during the Third Quarter State Technical Committee Meeting on the Elimination of Female Genital Mutilation in Rivers State, organised by the Rivers State Ministry of Health with support from the United Nations Children’s Fund (UNICEF) and other development partners.
The meeting brought together representatives of the Ministries of Health, Social Welfare and Rehabilitation, Information and Communications, civil society organisations, child protection advocates, development partners and other stakeholders committed to protecting women and girls from harmful traditional practices.
The engagement provided an opportunity for participants to review progress recorded in the state, examine persistent challenges and develop practical strategies for accelerating the elimination of FGM through stronger partnerships, coordinated interventions and evidence-based advocacy.
A major focus of the meeting was the need to broaden public understanding of what constitutes FGM. Participants noted that the practice extends beyond the commonly recognised cutting or removal of parts of the female genitalia and includes other harmful procedures that can cause lasting physical and psychological damage.
Setting the tone for the technical discussions, the Reproductive Health Coordinator, Rivers State Ministry of Health, Dr. Ebere Smith, described FGM as both a reproductive health concern and a social injustice that violates the bodily integrity, dignity and wellbeing of women and girls.
According to her, although FGM has historically been sustained by cultural beliefs and traditions in many communities, medical evidence has established that the practice exposes women and girls to avoidable health complications and psychological trauma.
“It is an injustice to the female anatomy. It is not just a reproductive injustice; it is also a social one. It affects a woman’s emotional well-being, childbirth, marriage and overall quality of life,” Dr. Smith said.
She explained that FGM can involve the use of unsterilised razor blades, knives, scissors and needles, while drawing attention to less recognised practices, including the repeated pressing of a baby girl’s genital area with hot water, which she identified as a form of Type IV FGM.
Dr. Smith noted that survivors could suffer excessive bleeding, infections, chronic pain, complications during childbirth, sexual dysfunction and emotional trauma, among other long-term health consequences.
She therefore stressed the importance of providing families and communities with accurate information to dispel misconceptions that have allowed harmful practices to persist across generations.
“Having the right information at the right time for the right people is essential,” she said, emphasising the roles of healthcare workers, parents, caregivers, traditional institutions, educators, journalists and community leaders in preventing FGM.
Speaking on progress made in Rivers State, the UNICEF Desk Officer in the Rivers State Ministry of Social Welfare and Rehabilitation, Dr. Victor Iseberetonma, expressed optimism over the impact of sustained advocacy and community sensitisation.
He disclosed that sensitisation structures established in about 60 communities were conducting house-to-house campaigns, church outreaches and market engagements aimed at educating residents on the dangers of FGM.
Iseberetonma also noted that an increasing number of traditional rulers and community leaders were demonstrating commitment to ending the practice within their domains.
He described the willingness of some monarchs to formally abolish FGM in their communities as an important milestone, stressing, however, that the ultimate objective remained the complete eradication of the practice across Rivers State.
In his technical presentation, UNICEF Facilitator, Mr. Uchenna Unah, cited findings from the 2024 Nigeria Demographic and Health Survey (NDHS), which showed that the prevalence of FGM among women aged 15–49 had declined from 20 per cent in 2018 to 14 per cent in 2024.
Despite the decline, Unah said FGM remained a significant public health and human rights concern, noting that 85 per cent of girls and women who underwent the practice experienced it before the age of five.
He further highlighted encouraging changes in public attitudes, stating that 71 per cent of women and 74 per cent of men surveyed believed that FGM should not continue, while a similar majority affirmed that no religion requires the practice.
He urged stakeholders to sustain evidence-based advocacy, strengthen community engagement and intensify public enlightenment to ensure that the declining prevalence ultimately translates into the complete elimination of FGM.
Also contributing to the discussions, the State Coordinator of the Child Protection Network (CPN), Rivers State, Inyinyi Irimagha, challenged the continued use of the term “female circumcision”, describing it as medically inaccurate.
She explained that circumcision refers to the removal of the male foreskin and should not be used to describe harmful procedures carried out on the female genitalia.
Irimagha said collaboration between the Rivers State Ministry of Social Welfare and Rehabilitation, Child Protection Network, UNICEF and other partners had strengthened community advocacy through survivor groups, adolescent networks, male champions and traditional rulers.
She also highlighted the need to increase awareness of Type IV FGM, particularly practices that communities may not recognise as forms of genital mutilation.
According to her, the absence of cutting does not mean that such practices are harmless, as damage to delicate tissues and nerves can result in long-term health and reproductive complications.
Beyond the formal presentations, discussions with participants revealed that misconceptions about FGM remain widespread.
Some participants admitted that they had previously associated FGM exclusively with the physical cutting or removal of parts of the female genitalia and were surprised to learn that other harmful practices are also recognised internationally as forms of FGM.
The discussions further highlighted the influence of culture and intergenerational traditions on perceptions of women’s health. Some participants recalled practices that had been passed down for generations without sufficient consideration of their medical implications.
One cultural practice mentioned during the engagement involved placing a snail between the legs of a woman after childbirth based on the belief that its slimy nature could help control bleeding.
Participants agreed that while cultural traditions remain important to communities, practices that pose risks to human health should be subjected to scientific scrutiny and discontinued where necessary.
A resident, Sampson, described the enlightenment as an eye-opener, noting that many people had traditionally believed that applying hot water to a newborn girl’s genital area was simply a routine hygiene practice.
He said greater public awareness was needed to ensure that families did not unknowingly expose their children to harmful practices.
Another participant, DollyPur, stressed the importance of creating safe spaces for community dialogue, saying that people often continue harmful practices because “everyone else” appears to be doing the same thing.
She noted that open discussions involving parents, community leaders and other stakeholders could help communities understand the health consequences of harmful traditional practices and encourage behavioural change.
The stakeholders consequently agreed that the elimination of FGM requires sustained cooperation among government institutions, healthcare professionals, traditional rulers, religious leaders, civil society organisations, development partners, the media and communities.
They emphasised that continuous public enlightenment, accurate health information and community-led interventions remain critical to correcting misconceptions, changing attitudes and protecting the health, dignity and rights of women and girls across Rivers State.
Christian Nelson Davies & Ekemini Victor Sunday
Dr Davies is the Director of Publications, Rivers State Ministry of Information and Communications, and Ekemini, an intern
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