Opinion
Nipping VVF In The Bud
Dr Habib Sadauki,
Nigeria’s Project Manager, Engender Health USAID/Fistula Care Plus, in 2015, spoke on Vesico-Vaginal Fistula (VVF), a serious health challenge faced by women of child bearing-age. He said about 120 new cases of VVF are reported yearly in Nigeria.
Dr Habib, made this comment barely a year after the Minister of Health in the Jonathan Goodluck’s cabinet’s, Prof. C. O. Onyebuchi Chukwu had signed a Memorandum of Understanding on behalf of the Federal Government of Nigeria to take over Vesico Vaginal Fistula (VVF) centers across Nigeria.
Prof. Chukwu noted that the available data then, showed a decline in the incidence of VVF cases in Nigeria which he attributed to a supposed renewed effort of the then administration and its partners to address the reproductive health of women and girls suffering from VVF.
In the words of the former minister, one of the renewed efforts by the previous government included among others, a national training on Obstetric fistula Management for Doctors and Nurses in 2011 in Katsina, Kano and Ebonyi States. Onyebuchi observed that the take-over of the centre by the federal government would bring expansion of services for the treatment and rehabilitation of VVF patient thereby reducing the backlog of VVF patients in the country at large.
The bottomline of this so-called renewed effort of the government was its role in the promotion of women’s health, which is considered very crucial to both the family and the society for national stability and development.
Just last week, the current leadership of the Federal Republic of Nigeria, flagged off free VVF surgeries for ten thousand, one hundred and fifty (10,150) patients under the Rapid Results Initiative, (RRI) programme which is aimed at performing ten thousand, one hundred and fifty Vesico Vaginal Fistula, (VVF) free surgeries.
This initiative to repair VVF cases, said to be part of the better-health-for-all project of the present administration, was said to be borne out of the need to respond to the critical needs of the people and deliver on the mandate of promoting health focus on access, affordability and demand.
But going by the confession of the former Minister of Health, Prof. Chukwu, that available data during his time in office indicated a decline in VVF cases, which he attributed to the effort of the government of the time under review, one expects a more reduced cases of this health enigma if the claims on ground are anything to go by.
However, the vigorous approach undertaken by the current administration does but reveals the extent to which this health challenge is still prevalent in Nigeria especially in the northern part of the country.
Could the persistent prevalence of VVF in Nigeria inspite of the measures by successive governments to combat it be interpreted to mean that the remedial approaches so adopted had been more of palliative than preventive measures?
Luckily the current Minister of Health, Prof. Isaac Adewole, while following VVF repair cases at the Federal Medical Centre, Jabi, Abuja, last week, was quoted to have said that his ministry would continue to train more personnel on how to carry out the Fistula repair since it is preventable as well as treatable.
My interest is hinged on the preventability of the ailment. The minister’s decision to partner with Society of Obstetric Fistula Surgeons (SOFS) as well as the Federal Ministry of Women Affairs to educate Nigerians that obstetric Fistula is preventable could best be described as a step in the right direction if the federal government is sincere on getting result in its fight against VVF.
It is, therefore, expected that while the federal government’s health project is intended to enable the poor and the vulnerable who hitherto could not afford the Fistula treatment to beam with smile, the involvement of the global community, the religious and traditional institutions in mobilizing support for this initiative, especially as it concerns educating the masses on the preventability of this challenging ailment, is of paramount importance.
It is not gainsaying the fact that so much money has been spent for the care of VVF patients in the past, ranging from the repair surgery to the rehabilitation of victims, not excluding the training of professions in the field which dearth had constituted a serious drawback to meeting target in the past.
Thus, there is every need to wage war against the VVF scourge by nipping its causes in the bud. This can only be made possible through investing more in the education of the masses on how to avoid the scourge. Besides, it is cheaper to prevent than to cure.
Sylvia ThankGod-Amadi
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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