Health
Achieving Healthy Society Through Family Planning

The Chief Executive Officer of the Association for Reproductive and Family Health, Prof. Oladapo Ladipo, says planned family is cardinal to managing the present economic recession and sustaining healthy society.
“Get out of poverty by planning your family, the present economic situation in the country is telling us we should not have more than certain number of children we can cater for”, he advised Nigerians in an interview.
Ladipo noted that although previously, people had many children because of the need to have people to work for them, the situation had changed due to increasing scarcity of resources.
He said they believed that the number of children they had then, some of whom they used to work on farms or elsewhere, would also determine their wealth and influence in the society.
He cautioned that such arrangement could be wrong presently for a family who had limited resources for two children and gave birth to more than those he could actually cater for.
Ladipo, therefore, called on the government at all levels to provide access to free family planning so that people would not blame giving birth to multiple children they could not train on lack of fund to access family planning services.
“There is no reason women should not have access to family planning just like the children have access to free immunisation.
“We need the government to provide free family planning for women, this is important so as to enable them have the number of children they can cater for and as well enjoy their sexual life without inhibition,” he advised.
Ladipo noted that providing a free family planning services for Nigerians would go a long way in salvaging the country future economically and socially.
He stated that the Internally Displaced Persons (IDPs) should be also included in making provision for affordable family planning, adding that the situation they found themselves had made them more vulnerable to unhealthy sex life.
Sharing similar sentiments, Dr Ejike Orji, Chairman, Local Organising Committee, 2016 Nigeria Family Planning Conference, said those in IDPs need family planning to prevent unintended pregnancy that could place additional burden on the society.
He noted that there were those who would not ordinarily want to get pregnant but who were being forced into sex in camps, insisting that advocacy on family planning should be stronger in IDP camps.
Orji appealed to Federal Government to redeem its three million dollar-pledge to boost family planning services in the country.
He noted that the government was not doing enough in term of public health information campaign which he said was responsible for the poor approach of the citizenry to family planning issues.
Orji said woman’s ability to prevent, limit or space her pregnancy through family planning information and services could reduce maternal mortality.
He stated that family planning had been universally recognised as one of the key pillars and most effective means of achieving safe motherhood.
Orji said every two years, the Federal Ministry of Health and Association for the Advancement of Family Planning used to bring together stakeholders to a national family planning conference.
He said the conference would deliberate on persisting issues, review emerging issues and chart new directions for preventing maternal deaths across the country through family planning information and services.
Similarly, the Global Family Planning (FP2020) notes that Nigeria has averted 1,450,000 unintended pregnancies and prevented 9,000 maternal deaths through the use of modern contraceptives in 2015.
The organisers of FP2020 conference, nonetheless, commend Nigeria for adding 1,628,000 modern contraceptive users since 2012.
The participants at the conference noted that the progress rate was slow due to limited access to information about family planning.
According to the organisers, only 12.5 per cent of women in Nigeria are provided with information on family planning during their most recent contact with a health service provider.
“This is an indication that Nigeria must dramatically expand family planning counseling, observing a wide difference between the rich and the poor on the access to family planning services.
“Nigeria is also committed to increase the percentage of women and couples using contraceptives by two per cent each year to reach 36 per cent by 2018.
“It also has to increase its total financial commitment for reproductive health commodities from N1.9 billion to more than N7.4 billion over four years and train more than 3,700 community health workers to deliver a full range of contraceptives,” the organisers advise.
They urge health service providers to deliver quality family planning services, improve counseling and education to increase demand for contraceptives.
In the same vein, Mr Charity Ibeawuchi, Nigerian Urban Reproductive Health Initiative (NURHI), restated that the importance of family planning could not be overemphasised.
He said in a bid to ensure unhindered access to family planning services for the urban poor, NURHI undertook advocacy initiatives primarily at the states and local governments.
He observed that the states and local governments had committed increased budgetary support for family planning while the media advocacy had been more family planning-friendly.
According to him, with the support of various community leaders, there have been active advocacy in support of family planning services, especially in the first phase of NURHI campaigns in Ibadan, Ilorin, Abuja and Kaduna.
Ogunshola writes for News Agency of Nigeria.
Femi Ogunshola
Health
Dental Association, Oyo Govt. Task Nigerians On Preventing Oral Diseases
Nigerian Dental Association (NDA) has urged Nigerians to take care of their oral health so as to reduce the burden of oral diseases.
NDA Chairman, Oyo State chapter, Dr Fechi Nkwocha, stated this at an event organised at St. Michael’s Primary School, Yemetu, Ibadan on Monday to commemorate the 2023 World Oral Health Day.
The News Agency of Nigeria (NAN) reports that the event was organised in collaboration with Oyo State Ministry of Health.
NAN also reports that the theme of this year’s World Oral Health Day is “Be proud of your mouth for a lifetime of smile.”
According to Nkwocha, the theme focuses on the importance of oral health at all stages of life.
“The standard of the World Dental Federation (FDI) is that children should possess 20 baby teeth (milk teeth) to be considered healthy, while healthy adults should have a total of 32 permanent teeth and zero tooth decay.
“Seniors must have a total of 20 natural teeth at the end of their lives to be considered healthy.
“To achieve this feat of optimal oral health for all, all hands must be on deck.
“Individuals, parents, teachers, caregivers, health care providers, policy makers, government and non-governmental organisations must collaborate to produce a healthy and productive population,” she said.
Nkwocha said that the burden of oral diseases, such as gum disease (gingivitis, bleeding gums), dental caries (tooth decay) and periodontitis had been high in Nigeria, leading to loss of teeth.
According to her, this is due to poor awareness of good oral health practices and the wrong perception of oral disease as having no serious consequence on general health.
“We want to remind our citizens that oral diseases have been known to cause severe disability and death.
“Oral diseases have been implicated in heart diseases, poor insulin and glucose control in patients with diabetes, low birth weight in pregnant women, to mention but a few.
“Treatment of advanced dental diseases are costly and time-consuming but thankfully, many of these oral diseases are preventable and easily treated in early stages with good oral health practices,” she said.
The NDA chairman decried limited access to oral health care facilities and services to Nigerians.
“With an estimated population of about 218 million as at 2022, Nigeria has an estimated dentist-to-population ratio of 1:54000, but worse in rural areas.
“This is a far cry from the recommended ratio of one dentist to 5,000 people, hence another reason for the poor oral health profile,” she said.
In his address, Oyo State Commissioner for Health, Dr Bode Ladipo, said that the celebration was an opportunity to create awareness on the importance of oral health.
Ladipo, who was represented by the Permanent Secretary in the ministry, Dr Olusoji Adeyanju, said that it was aimed at letting the public know that most oral health conditions were largely preventable and could be treated in their early stages without the associated morbidities.
“The WHO Global Oral Health Status Report (2022) estimated that oral diseases affect close to 3.5 billion people worldwide, with three out of four people affected in middle-income countries.
“This has made oral health a focus in the free health mission carried out across the 33 local government areas of the state on quarterly basis by the present administration’’.
“Free services are provided during this medical outreach and members of the community should take advantage of this quarterly activity,” he said.
Representative of the pupils of St. Michael’s Primary School and IMG Primary School, Taiwo Salami, appreciated kind gestures of the organisers of the free oral health programme.
Health
Down SYNDROME -5000 Born Daily-UN
The United Nations has revealed that each year around five thousand children are born with Down Syndrome.
Every year World Down Syndrome Day is observed on March 21. The United Nation General Assembly declared March 21 World Down Syndrome Day in December 2011 and it began observing the day from 2012 onwards.
The 21st day of the third month has been selected as the designated date because the syndrome occurs due to the triplication of the 21st chromosome.
This year’s theme for World Down Syndrome Day 2023 is ‘With Us, Not For Us.’ The motive of this theme according to the UN is to ditch the old charity model and adopt a more human rights-based approach.
This theme it further explained encourages people to advocate for equality, as t seeks to view people with disabilities as having the right to be treated fairly, instead of viewing them as objects of charity, pity, and someone who needs to constantly rely on others for support.
Due to their condition, most of them may often face challenges in everyday life. This year’s theme urges people to change. Those with Down Syndrome must have the freedom to make their own choices and those supporting them must do things ‘with’ them, not ‘for’ them.
Down Syndrome is a genetic condition caused when anyone is born with an extra chromosome. People with Down Syndrome have some common features like small ears, a flat nose, eyes slanted up at the outer corner, protruding tongue, short neck, small hands and feet.
So far, Down Syndrome has no cure and is a lifelong condition. Nevertheless, there are treatments in place which, if received at the right time can help individuals live a meaningful life.
Those with Down Syndrome go through multiple emotional and physical challenges. Our society even today finds it difficult to accept them and even treat them differently. Every year, World Down Syndrome Day is observed on March 21 to raise awareness about the condition.
The life of those with Down Syndrome has not been easy. Besides hampered physical and mental development, the kind of ill-treatment and discrimination they are subjected to just worsens life for them. They are often face challenges while accessing basic rights like education, quality health services or the right to earn.
Health
23 Rivers Indigenes Benefit From Free Eye Surgery
Over 23 persons have benefitted from a free eye Surgery organised by a non-governmental organisation, Steve Sandie foundation.
The beneficiaries were selected from the 23 Local Government Areas of Rivers State.
Sources however informed The Tide during the event that the surgery was bankrolled by a Rivers born philanthropist and politician who does not want his name mentioned.
Speaking at the programme, President, Steve Sandie Foundation, Mrs. Joyce Emmanuel said the programme was to help some indigent members of the society to solve their eyes problem.
She said beneficiaries were selected from the 23 local government areas of the state
Emmanuel said some of the critical cases will be referred while surgery will be performed on those that can be handled by the organisation at the centre.
She commended the donor for his concern on the plight of the less privileged.
According to her, the donor who does not want his name mentioned was so pathetic about giving sights to people.
Emmanuel said that the patients will be diagnosed and treated while serious cases will be referred for treatment at a higher health institutions
She said the organisation which was registered since 2008 has been involved in sensitising women on the values of caesarian operations.
Emmanuel said the group having discovered the need for caesarian section in some delivery cases has been talking to rural women on the need for them to go for it when necessary.
She however said most women who do not go for caesarian operations during delivery are doing so out of ignorance, as it is safe and cost effective.
Some of the beneficiaries of the free eye surgery including Obari Nwafor from Eleme thanked the group and the donor for the opportunity, stressing that the problem had taken him across to Calabar, Cross River State.
By: John Bibor
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