Opinion
Checking Maternal And Child Mortality
Procreation remains a key characteristic of living
things including mankind. In fact, the Holy Bible in Genesis chapter nine verse seven commands mankind to be fruitful and multiply and replenish the earth among others.
Unfortunately, reproductive process particularly in man is not without health challenges. This is where maternal and child mortality as well as morbidity comes to mind.
It is pertinent to explain that maternal mortality has to do with pregnancy-related deaths in women of reproductive age. lt encompasses the death of women while pregnant and also death within forty-two days of termination of pregnancy.
Experts agree that maternal mortality could occur as a result of direct complications of pregnancy, delivery or management of both. On the other hand, maternal mortality could occur as a result of pre-existing health challenge unrelated to pregnancy.
This could be due to the presence of disease in mothers such as the case of malaria, tuberculosis and HIV/AIDS not detected early enough in pregnant women.
The concept of maternal and child morbidity is applicable to the presence of infections otherwise referred to as sepsis in pregnant women and new born children.
According to World Health Organization in its 2005 World Health Reports titled: “Make Every Mother and Child Count”, the major causes of maternal death include severe hemorrhage which accounts for twenty-five per cent infection, thirteen per cent; unsafe abortion, thirteen per cent also, eclampsia or convulsion related complication twelve per cent, obstructed labour, eight per cent.
This is not to undermine the challenges of lack of early antenatal care, teenage pregnancies, poor referral system, patronage of unskilled traditional birth attendants as well as lack of access to health care services and ruptured uterus.
Infant deaths occur largely in children within five years while more than half of total deaths in children truly take place in children under one year.
Doctor Roland Obed-Whyte of the Rivers State Primary Healthcare Management Board disclosed in an interview that over ninety-five per cent of the total death of children occur in developing countries including Nigeria.
It is also on record that pneumonia, diahorrhoa, toxaenia, malnutrition, malaria, preterm birth complications and birth asphycia account for child mortality.
Interestingly, maternal and child health have received global attention in the past decades.
For instance, maternal and child health form the crux of the United Nations MDG’s four and five.
Millenium Development Goals four (4) specifically emphasises reduction of child death while goal five (5) places emphasis on maternal health.
Today, maternal mortality ratio which deals with risks associated with pregnancy is largely described as obstetric risk and in some climes MDG indicator.
The joy of live birth otherwise regarded as successful expulsion or extraction from a mother of a product of conception irrespective of duration of pregnancy remains a thing of joy and one that evokes celebration by family members worldwide.
Available records by relevant international organizations show that all regions of the world have recorded significant progress in checking maternal and child mortality even though increased interventions are of utmost necessity.
In Nigeria, for instance, the Federal, State, and Local Governments are collaborating and working assiduouslv not only to reduce poverty but to make maternal and child mortality a thing of the past.
It is gratifying that the Federal and State Governments synergize efforts to providing routine immunization exercises nationwide to reduce child deaths in the country.
In Rivers State, government provides free medicare which accommodates pregnant women including free surgery for registered women under the scheme.
Besides, the avalanche of primary health centres across the State has provided access to healthcare delivery and in turn bridge rural- urban gap which hitherto existed.
No doubt, the setting-up of Rivers State Primary Health Care Board remains a proactive strategy to truly bring health care to the masses and to coordinate efforts of government and intervention agencies.
To this end, to check maternal and child mortality in Nigeria, all hands must be on deck.
Women particularly those who are pregnant and those of reproductive age must take advantage of various healtty care initiative of government at federal, state and local government levels to meet their health care needs.
There cannot be an overdose of awareness campaign to this effect.
Rivers State Government must make its free health care service truly free and efficient and must not wait for medical doctors and other health care workers to embark on industrial action to provide relevant funds.
Government must also provide relevant vaccines including tetanus toxoid which is reportedly lacking in some states including Rivers State.
Pregnant women should embrace orthodox medication by registering for antenatal care and reduce dependence on harmful traditional practices that may lead to death of mother and child as well as infection.
Mothers and guardians must present their children and wards for free routine immunization programmes available in the nation and save them from childhood killer diseases such as polio, tuberculosis etc.
Attention must be drawn to training and retraining of doctors and other health care workers to nib in the bud fatalities associated with incompence on their part while out-of-stock syndrome in public hospitals must be fought with a sense of responsibility.
Similarly, government must not politicise the procurement of hospital equipment to check irregular laboratory results in public hospitals.
Above all, the biblical injunction of “Go ye into the world and multiply” may be threatened if conscious efforts are not made to overcome maternal and child morbidity and mortality.
A stich in time saves nine.
Sika is of Radio Rivers, Port Harcourt.
Baridorn Sika
Opinion
Wike VS Soldier’s Altercation: Matters Arising
The events that unfolded in Abuja on Tuesday November 11, 2025 between the Minister of the Federal Capital Territory, Chief Nyesom Wike and a detachment of soldiers guarding a disputed property, led by Adams Yerima, a commissioned Naval Officer, may go down as one of the defining images of Nigeria’s democratic contradictions. It was not merely a quarrel over land. It was a confrontation between civil authority and the military legacy that still hovers over our national life.
Nyesom Wike, fiery and fearless as always, was seen on video exchanging words with a uniformed officer who refused to grant him passage to inspect a parcel of land alleged to have been illegally acquired. The minister’s voice rose, his temper flared, and the soldier, too, stood his ground, insisting on his own authority. Around them, aides, security men, and bystanders watched, stunned, as two embodiments of the Nigerian state clashed in the open.
The images spread fast, igniting debates across drawing rooms, beer parlours, and social media platforms. Some hailed Wike for standing up to military arrogance; others scolded him for perceived disrespect to the armed forces. Yet beneath the noise lies a deeper question about what sort of society we are building and whether power in Nigeria truly understands the limits of its own reach.
It is tragic that, more than two decades into civil rule, the relationship between the civilian arm of government and the military remains fragile and poorly understood. The presence of soldiers in a land dispute between private individuals and the city administration is, by all civic standards, an aberration. It recalls a dark era when might was right, and uniforms conferred immunity against accountability.
Wike’s anger, even if fiery, was rooted in a legitimate concern: that no individual, however connected or retired, should deploy the military to protect personal interests. That sentiment echoes the fundamental democratic creed that the law is supreme, not personalities. If his passion overshot decorum, it was perhaps a reflection of a nation weary of impunity.
On the other hand, the soldier in question is a symbol of another truth: that discipline, respect for order, and duty to hierarchy are ingrained in our armed forces. He may have been caught between conflicting instructions one from his superiors, another from a civilian minister exercising his lawful authority. The confusion points not to personal failure but to institutional dysfunction.
It is, therefore, simplistic to turn the incident into a morality play of good versus evil.
*********”**** What happened was an institutional embarrassment. Both men represented facets of the same failing system a polity still learning how to reconcile authority with civility, law with loyalty, and service with restraint.
In fairness, Wike has shown himself as a man of uncommon courage. Whether in Rivers State or at the FCTA, he does not shy away from confrontation. Yet courage without composure often feeds misunderstanding. A public officer must always be the cooler head, even when provoked, because the power of example outweighs the satisfaction of winning an argument.
Conversely, soldiers, too, must be reminded that their uniforms do not place them above civilian oversight. The military exists to defend the nation, not to enforce property claims or intimidate lawful authorities. Their participation in purely civil matters corrodes the image of the institution and erodes public trust.
One cannot overlook the irony: in a country where kidnappers roam highways and bandits sack villages, armed men are posted to guard contested land in the capital. It reflects misplaced priorities and distorted values. The Nigerian soldier, trained to defend sovereignty, should not be drawn into private or bureaucratic tussles.
Sycophancy remains the greatest ailment of our political culture. Many of those who now cheer one side or the other do so not out of conviction but out of convenience. Tomorrow they will switch allegiance. True patriotism lies not in defending personalities but in defending principles. A people enslaved by flattery cannot nurture a culture of justice.
The Nigerian elite must learn to submit to the same laws that govern the poor. When big men fence off public land and use connections to shield their interests, they mock the very constitution they swore to uphold. The FCT, as the mirror of national order, must not become a jungle where only the powerful can build.
The lesson for Wike himself is also clear: power is best exercised with calmness. The weight of his office demands more than bravery; it demands statesmanship. To lead is not merely to command, but to persuade — even those who resist your authority.
Equally, the lesson for the armed forces is that professionalism shines brightest in restraint. Obedience to illegal orders is not loyalty; it is complicity. The soldier who stands on the side of justice protects both his honour and the dignity of his uniform.
The Presidency, too, must see this episode as a wake-up call to clarify institutional boundaries. If soldiers can be drawn into civil enforcement without authorization, then our democracy remains at risk of subtle militarization. The constitution must speak louder than confusion.
The Nigerian public deserves better than spectacles of ego. We crave leaders who rise above emotion and officers who respect civilian supremacy. Our children must not inherit a nation where authority means shouting matches and intimidation in public glare.
Every democracy matures through such tests. What matters is whether we learn the right lessons. The British once had generals who defied parliament; the Americans once fought over states’ rights; Nigeria, too, must pass through her own growing pains but with humility, not hubris.
If the confrontation has stirred discomfort, then perhaps it has done the nation some good. It forces a conversation long overdue: Who truly owns the state — the citizen or the powerful? Can we build a Nigeria where institutions, not individuals, define our destiny?
As the dust settles, both the FCTA and the military hierarchy must conduct impartial investigations. The truth must be established — not to shame anyone, but to restore order. Where laws were broken, consequences must follow. Where misunderstandings occurred, apologies must be offered.
Let the rule of law triumph over the rule of impulse. Let civility triumph over confrontation. Let governance return to the path of dialogue and procedure.
Nigeria cannot continue to oscillate between civilian bravado and military arrogance. Both impulses spring from the same insecurity — the fear of losing control. True leadership lies in the ability to trust institutions to do their work without coercion.
Those who witnessed the clash saw a drama of two gladiators. One in starched khaki, one in well-cut suit. Both proud, both unyielding. But a nation cannot be built on stubbornness; it must be built on understanding. Power, when it meets power, should produce order, not chaos.
We must resist the temptation to glorify temper. Governance is not warfare; it is stewardship. The citizen watches, the world observes, and history records. How we handle moments like this will define our collective maturity.
The confrontation may have ended without violence, but it left deep questions in the national conscience. When men of authority quarrel in the open, institutions tremble. The people, once again, become spectators in a theatre of misplaced pride.
It is time for all who hold office — civilian or military — to remember that they serve under the same flag. That flag is neither khaki nor political colour; it is green-white-green, and it demands humility.
No victor, no vanquish only a lesson for a nation still learning to govern itself with dignity.
By; King Onunwor
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