Discussing
the current State of the World’s Mother Report which rated Nigeria as the worst
place to be a mother on a television recently, the participants mainly health
professionals, gave an indepth insight into the decay in Nigeria’s health
sector and called for urgent collective effort of all to remedy the ugly
situation.

It
would be recalled that an international non-governmental organisation, Save the
Children, in its 2012 annual report rated Nigeria as the worst place to be a
mother.

The
report ranked the country 123rd out of 165 countries assessed, and 80th out of 80 countries in the Less Developed (LD)
countries category. Nigeria, it said losses a woman every 10 minutes to
conditions associated with child birth
development, which adds up to 144 losses daily.

The
report which looked at factors such as mother’s health, education and economic
status as well as critical child indicators such as, health and nutrition,
identified Norway as the best country to be a mother.

The
discussants opined that the data tells a lot about Nigeria, where the primary
health care delivery, especially in the rural areas, is very weak.

“Did
anyone really expect a better report from a country that is careless about the
health and welfare of her citizens? Why should we expect a better ranking when
most of our women are poor, have no means of livelihood and cannot cater for
their health?” Queried one of them.

“The
report in question identified malnutrition as the underlying cause of about a
fifth of maternal mortality and more than one third of child deaths, and I am
saying that the death rate of mothers and children from these conditions in
Nigeria will be higher going by the pitiable conditions of our mothers and
children in Nigeria, partially those in the rural areas”, she continued.

Another
discussant who painted a pitiable condition of many primary care centres in the
rural areas said, unless adequate facilities and trained personnel are made
available in the rural areas, the death rate will continue to rise yearly.

He
said although many pregnant women have complications due to their refusal to go
for ante-natal care, some who want to avail themselves of such care are
discouraged by lack of qualified personnel to attend to them, even when ante-natal
clinics hold only three or four time during their pregnancy period.

Incidentally,
this is happening in a country which spends higher than any other country on
foreign medical trips. The Minister of Health, Prof Onyebuchi Chukwu said at a
public function recently, that over 5,000 Nigerians travel abroad monthly for
medical attention, thereby shipping to foreign lands, at least N78 billion
yearly for the purpose.

It
has become a norm for political office holders and top public servant to get
out of the country for the slightest medical challenge. Some of them spend
months and weeks in very expensive hospitals while their bills are paid from
the tax revenue generated from the poor masses who back with Nigeria cannot
afford the cheapest drugs when they took ill.

A
famous actress, Grace Amah, few weeks ago was asked why she went abroad to
deliver her baby and she said, “Why do our leaders go abroad for medical
treatment? May be they are setting the pace and others are following. When the
leaders are able to provide the necessary facilities, take care of medical
cases in Nigeria, especially complicated matters like childbirths, I am sure
Nigerians including the leaders themselves will begin to show good examples.

“We
have enough resources in this country to take care of our hospitals and save
life of our citizens which are lost in avoidable circumstances. In many cases,
despite a few good ones which are obviously very few and unaffordable to many,
many of our hospitals have been described by our political leaders as slaughter
houses. Why would anyone see a slaughter centre and go there to be slaughtered!
Let the hospitals be in good state and let there be manpower with the right
attitude in the profession, Nigerians will be home at all times”.

Indeed,
I think if our leaders and well-to-do citizens of this country will invest at
least 50 per cent of the amount spent on overseas medical treatment in the
health sector in Nigeria, Nigeria will be counted among the countries that have
the best medical facilities, in the world. It has always been said that Nigeria
can boast of the best doctors in the world many of whom are working in best
hospitals abroad, but what is lacking the facilities.

Why
can’t our governors, legislators, ministers, politicians and other public
office holder emulate the Governor of Kogi State, Idris Wada who refused to
seek medical treatment abroad, but rather choose to be treatedhere in Nigeria.
Why can’t they make the government hospitals in their domain as wonderful as
those the queue up for in other countries. Afterall it took the dedication and
commitment of leaders and citizens of those countries to bring their medical
facilities to such enviable positions.

So,
I think rather than being dismissive of the World’s Mothers Report as are our
leaders may be tempted to do, they should address the areas focused by the
report  viz education, empowerment,
adequate health care for the mothers and children. They should find out from
countries like Norway, Sweden and Iceland what they may be doing well to have
consistently come tops on the list of best places to be a mother and apply
them.

As
the Country Director of Save the Children Nigeria, Susan Grant said, “When
mothers have access to health care, education and livelihoods and productive
economic opportunities, both they and their children have the best chances to
survive. Educate and support one woman and you lift a family out of poverty”.

Calista Ezeaku