Features
2014: Turning Point For HIV/AIDS?
Not many people will dis
agree that no ailment has received as much attention as HIV/AIDS in the whole World. True still, there is yet to be an ailment which had evaded prevention, treatment and cure like HIV.
Since it came to the fore in the early 80s in the United States of America (USA), the best that has been achieved has been tremendous progress in terms of diagnosis, knowledge of the disease, treatment and prevention.
Thus, for over three decades, cure for HIV/AIDS has been elusive. Some of the world’s greatest virologists, are said to have given up hope, at some point, for a permanent cure to the virus.
The world scenario, as revealed by Professor Francoise Barre- Sinoussi, states that about 10 million people are currently on HIV/AIDS treatment in the world.
Painting the reality about HIV, Professor Barre-Sinoussi, a virologist who co-discovered HIV in 1983, noted.
“The virus is attacking our immune system, the cell that are there to respond against a pathogene (HIV or any others) that makes a challenge, because the virus is altering the function of our cells very, very quickly.
“More quickly than an immuno response generally can be obtained. So, this is a critical challenge.”
According to the current United Nations report on global HIV/AIDS status, people newly infected with HIV/AIDS declined by 19 per cent ten years before December 2009, with at least 33 countries experiencing a decline in HIV incidence of at least 25 per cent, and that 10 high-prevalence countries achieved the global goal of reducing HIV prevalence among young people at least by 25 per cent.
In spite of these relative successes, the report noted that the HIV epidemic has continued to outpace the response, thus under scoring the need to revolutionise efforts to prevent new infections.
The report also states that as at December 2010, more than six million people were estimated to be receiving anti-retroviral therapy in low and middle-income countries, including Nigeria. Yet the majority of people in need still lack access to the drugs due to peculiar problems relating to countries and environment.
It further noted that about three in 10 countries globally still lack laws prohibiting HIV related discrimination. Meanwhile, more than half of the countries with such laws or policy indirectly or inadvertently reduce services access for vulnerable populations. Thus, many of the countries with anti-discrimination laws do not rigorously enforce them.
A clear global HIV statistics, according to the report, reveals that: more than 35 million people now live with HIV/AIDS; 3.3 million of them are under 15 years.
In 2012, an estimated 2.3 million people where newly infected with HIV/AIDS, and 260,000 were under 15 years.
It also revealed that 6,300 people contract HIV daily (nearly 262 every hour), in 2012, 1.6 million people died from AIDS, 210,000 of them were under 15 years, and since the beginning of the epidemic, more than 75 million people have contracted HIV, while about 36 million have died of HIV – related causes.
According to UN report, 25 million people living with HIV (constituting about 70 pr cent of the global figure) live in sub-Saharan Africa. This number include 88 per cent of the world’s HIV positive children.
In 2012, an estimated 1.6 million people in sub-saharan Africa were newly infected, while 1.2 million adults and children were also estimated to have died of AIDS. The number accounts for 75 per cent of the World AIDS in 2012.
Nigeria, one of the sub-Saharan Africa countries, has been noted to have a high HIV prevalence among adults between the ages of 15-49, which was rated about 3.1 per cent in 2012, making Nigeria the second largest number of people living with HIV/AIDS.
The HIV epidemic in Nigeria varies according to region. It is more concentrated in some regions and driven by high risk behaviours.
Prior to 2013, Nigeria’s HIV prevalence was 4.2 per cent. But after series of intervention measures, the country’s prevalence, according to the report of the National Reproductive Health Survey (NARHS) plus, in 2013 reduced to 3.4 per cent.
The report showed that of the 36 states and the Federal Capital Territory, Rivers State has the highest prevalence of 15.2 per cent which was higher than the national prevalence.
Of all levels of HIV prevalence in Nigeria, however, the most alarming is amongst children, according to the latest UN report.
Titled “2013 Progress Report on the Global Plan: Towards the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive”, the report shows that the prevalence of HIV among Nigerian children has been relatively stagnant with no significant improvement. In 2012, total number of children infected in Nigeria, according to the report, stood at about 60,000, a number that has remained largely unchanged since 2009.
“Nigeria accounts for one third of all new HIV infections among children in the 21 priority countries in sub-Saharan African, the largest of any country. Progress here is therefore critical to eliminating new HIV infections among children globally.
“Nearly all indicators access show stagnation and suggest that Nigeria is facing significant hurdles,” the report stated. Part of these hurdles, according to the Executive Director, Centre for Women’s Health and Adolescents’ Development in Port Harcourt, Rivers State, Ms Helen Odega, is largely due to the fact that the authorities in the health sector have been lagging in the implementation of the prevention of mother to child transmission (PMTCT) of HIV policy.
“Sincerely speaking, I think PMTCT implementation is really zero, and the country is not taking responsibility and ownership. We have policies which are not being implemented and the problem lies with the government, which ought to channel the resources, claim ownership and do the right things.
A presentation made at a two-day National Anti-retroviral and Co-trimoxazole Quantification Assumptions workshop by senior programme specialist, Centre for Disease Control (CDC), on the strategic use of ART, Dr Ogbanife Obinna, noted that over 270,000 new HIV infections occur annually in Nigeria, of this number , only about 56,000 new HIV clients are put on ART in same period with a ratio of approximately 1.5.
Comparatively, South Africa recorded about 350,000 new HIV infections annually, and put about 227,000 positive persons on treatment annually. This is an indication that Nigeria is doing poorly for a country with high HIV burden.
Meanwhile some African Countries, such as Botswana, Cambodia and Malaysia are now ahead of their HIV epidemic because the number of people put on treatment annually surpasses the rate of new infections recorded.
In the light of the fore-going development in HIV/AIDS, the immediate question that easily comes to mind is, where have we gone wrong in the search for HIV prevention, treatment, care / support for people living positively, and cure for the pandemic?
Generally, there are so much amiss: one key area in which the fight against HIV has faced the greatest challenge is in the institution and implementation of relevant laws to protect the rights of PLW HIV.
As noted earlier, only relatively few countries have instituted laws that both protect PLW HIV and punishes offenders. Worst still, most of these few countries are yet to fully implement such instituted laws, which would have served effectively as a spring board towards the implementation of efforts aimed at checking the spread of HIV.
The same incapacitation is noticeable in the health systems of most countries with high HIV prevalence.
The organisation of health service in Nigeria, for instance, is complex. It includes a wide range of providers in both the public and private sectors.
In the public sectors, Nigeria operates a decentralised health system run by the Federal Ministry of Health, State Ministries of Health and Local Government Health Department (LGHDs). The FMOH is the overall health policy formulating body. It coordinates and supervises the activities of the other levels. It also provides tertiary care through teaching hospital and federal medical centres. The State Ministeries of Health provide secondary health care through the state hospitals and comprehensive health centres, while the LGHDs provide primary health care service through the primary health centres.
On paper, this decentralisation of the health care delivery system in Nigeria seem effective. However, in practice it is hardly so. This is because health service delivery is mostly concentrated in the urban areas. The rural (precisely hard-to-reach), areas are in most cases excluded from key health commodities.
Consequently, rural dwellers often find it difficult to access health care in the urban areas as a result of the distance. This has financial consideration on the part of the rural dwellers, who due to financial incapacitation could remain in the rural area till death comes knocking.
In spite of the numerous global collaborative efforts ultimately aimed at getting a cure for HIV/AIDS, it has remained elusive. This has constituted a major challenge to scientists all over the world, particularly, virologists involved in HIV/ AIDS.
It has also become a challenge to other key stakeholders, and the entire world as a community to step up their collaboration in the quest for a cure. Such key stakeholders include scientists involved in HIV, clinicians, media and governments.
On the part of the scientists, over three decades after the first case of HIV was detected, the best they had achieved that is closest to a cure is the case of Timothy Brown, the first man cured of HIV through a bone marrow transplant and that of the mississi ppi baby, who was treated with anti-retroviral drugs for HIV immediately after birth. Two years since being taken off therapy at 18 months, the baby has remained free of HIV.
As late as this may seem to have come, it has been a long but fruitful journey. But the journey may still remain long until a permanent cure is found and made easily accessible. Clinicians, particularly in the developing countries, would need to create a much more conducive, less discriminatory and trust worthy relationship with PLW HIV. This will greatly encourage infected / affected persons to come out from their hideout to access care and support.
Health care providers in Nigeria need to ensure, for instance, that one way to check MTCT is to strengthen follow-up mechanism to track HIV positive pregnant women who go for traditional birth attendants (TBAs). This will encourage them to return to the hospital to give birth, not just attend anti-natal sessions alone.
Government at various levels also need to go beyond HIV financing to instituting necessary discrimination laws and policies and implementing same.
All of these efforts may come to naught without effective collaboration with the media, which is vested with the responsibility of creating awareness.
Without relevant and continuous awareness, the populace will be left behind on developments about HIV/AIDS. If these and other key stakehdolers involved in HIV response could play their roles effectively in their peculiar environments across the globe, the hitherto long journey so far in the fight against HIV/AIDS may have been shortened. As the world assembly in Melbourne, Austrialia for AIDs 2014, therefore, expectations are rife that given what have been achieved so far, the 20th International AIDS Conference will pave the path towards an end to the HIV/AIDS epidemic.
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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