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.
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Restoring Order, Delivering Good Governance
The political atmosphere in Rivers State has been anything but calm in 2025. Yet, a rare moment of unity was witnessed on Saturday, June 28, when Governor Siminalayi Fubara and Minister of the Federal Capital Territory, Chief Nyesom Wike, appeared side by side at the funeral of Elder Temple Omezurike Onuoha, Wike’s late uncle. What could have passed for a routine condolence visit evolved into a significant political statement—a symbolic show of reconciliation in a state bruised by deep political strife.
The funeral, attended by dignitaries from across the nation, was more than a moment of shared grief. It became the public reflection of a private peace accord reached earlier at the Presidential Villa in Abuja. There, President Bola Ahmed Tinubu brought together Governor Fubara, Minister Wike, the suspended Speaker of the Rivers State House of Assembly, Martin Amaewhule, and other lawmakers to chart a new path forward.
For Rivers people, that truce is a beacon of hope. But they are not content with photo opportunities and promises. What they demand now is the immediate lifting of the state of emergency declared in March 2025, and the unconditional reinstatement of Governor Fubara, Deputy Governor Dr. Ngozi Odu, and all suspended lawmakers. They insist on the restoration of their democratic mandate.
President Tinubu’s decision to suspend the entire structure of Rivers State’s elected leadership and appoint a sole administrator was a drastic response to a deepening political crisis. While it may have prevented a complete breakdown in governance, it also robbed the people of their voice. That silence must now end.
The administrator, retired naval chief Ibok-Ette Ibas, has managed a caretaker role. But Rivers State cannot thrive under unelected stewardship. Democracy must return—not partially, not symbolically, but fully. President Tinubu has to ensure that the people’s will, expressed through the ballot, is restored in word and deed.
Governor Fubara, who will complete his six-month suspension by September, was elected to serve the people of Rivers, not to be sidelined by political intrigues. His return should not be ceremonial. It should come with the full powers and authority vested in him by the constitution and the mandate of Rivers citizens.
The people’s frustration is understandable. At the heart of the political crisis was a power tussle between loyalists of Fubara and those of Wike. Institutions, particularly the State House of Assembly, became battlegrounds. Attempts were made to impeach Fubara. The situation deteriorated into a full-blown crisis, and governance was nearly brought to its knees.
But the tide must now turn. With the Senate’s approval of a record ?1.485 trillion budget for Rivers State for 2025, a new opportunity has emerged. This budget is not just a fiscal document—it is a blueprint for transformation, allocating ?1.077 trillion for capital projects alone. Yet, without the governor’s reinstatement, its execution remains in doubt.
It is Governor Fubara, and only him, who possesses the people’s mandate to execute this ambitious budget. It is time for him to return to duty with vigor, responsibility, and a renewed sense of urgency. The people expect delivery—on roads, hospitals, schools, and job creation.
Rivers civil servants, recovering from neglect and under appreciation, should also continue to be a top priority. Fubara should continue to ensure timely payment of salaries, address pension issues, and create a more effective, motivated public workforce. This is how governance becomes real in people’s lives.
The “Rivers First” mantra with which Fubara campaigned is now being tested. That slogan should become policy. It must inform every appointment, every contract, every budget decision, and every reform. It must reflect the needs and aspirations of the ordinary Rivers person—not political patrons or vested interests.
Beyond infrastructure and administration, political healing is essential. Governor Fubara and Minister Wike must go beyond temporary peace. They should actively unite their camps and followers to form one strong political family. The future of Rivers cannot be built on division.
Political appointments, both at the Federal and State levels, must reflect a spirit of fairness, tolerance, and inclusivity. The days of political vendettas and exclusive lists must end. Every ethnic group, every gender, and every generation must feel included in the new Rivers project.
Rivers is too diverse to be governed by one faction. Lasting peace can only be built on concessions, maturity, and equity. The people are watching to see if the peace deal will lead to deeper understanding or simply paper over cracks in an already fragile political arrangement.
Wike, now a national figure as Minister of the FCT, has a responsibility to rise above the local fray and support the development of Rivers State. His influence should bring federal attention and investment to the state, not political interference or division.
Likewise, Fubara should lead with restraint, humility, and a focus on service delivery. His return should not be marked by revenge or political purges but by inclusive leadership that welcomes even former adversaries into the process of rebuilding the state.
“The people are no longer interested in power struggles. They want light in their streets, drugs in their hospitals, teachers in their classrooms, and jobs for their children. The politics of ego and entitlement have to give way to governance with purpose.
The appearance of both leaders at the funeral was a glimpse of what unity could look like. That moment should now evolve into a movement-one that prioritizes Rivers State over every personal ambition. Let it be the beginning of true reconciliation and progress.
As September draws near, the Federal government should act decisively to end the state of emergency and reinstate all suspended officials. Rivers State must return to constitutional order and normal democratic processes. This is the minimum requirement of good governance.
The crisis in Rivers has dragged on for too long. The truce is a step forward, but much more is needed. Reinstating Governor Fubara, implementing the ?1.485 trillion budget, and uniting political factions are now the urgent tasks ahead. Rivers people have suffered enough. It is time to restore leadership, rebuild trust, and finally put Rivers first.
By: Amieyeofori Ibim
Amieyeofori Ibim is former Editor of The Tide Newspapers, political analyst and public affairs commentator
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