Health
Agony of 46-year-old Woman Living With Irreparable VVF , RVF
Zuwaira Iliya, 46, sits quietly on her hospital bed with catheter showing from the side of her
wrapper as she slowly narrates her 30 years of struggle, living with continuous leakage of urine and faeces.
Iliya of Makarfi Village in Makarfi Local Government Area of Kaduna State has been grappling with Obstetric
Fistula but has kept hope alive in spite of what appears to be a hopeless situation.
She told a correspondent who was at the Vesico Vaginal Fistula (VVF) Unit of
Gambo Sawaba General Hospital, Zaria in Kaduna State, on a special interview to mark the 2023 International
Day to End Obstetric Fistula (IDEOF) that she would be healed against all odds.
She had lived with VVF and Rectovaginal Fistula (RVF) for 30 years, as she contracted the
condition at the age of 16 after her marriage.
Iliya said that she became pregnant soon after her marriage but experienced prolonged labour during childbirth,
adding that she lost the baby and also developed both VVF and RVF in the process.
VVF or Obstetric Fistula, also known as fistula, is a childbirth complication which leads to abnormal opening between
the bladder and the vagina, causing continuous and unremitting urinary incontinence.
The condition is among the most distressing complications of gynecologic and obstetric procedures which can
cause discomfort, and if left untreated, it may lead to serious bacterial infection, which may result to sepsis, a
dangerous condition that can lead to low blood pressure, organ damage or even death.
Similarly, RVF is a communication between bladder and rectum, where faeces pass before getting to the anus, leading
to intermittent leakage of faeces into the vagina.
The development of these conditions, therefore, plunged the young Iliya into a life of agony, and for the past 30 years,
she said she had been struggling with depression, rejection, ridicule and abandonment.
She said “I was married off at the age 16, and immediately became pregnant. When it was time to deliver the baby,
I went into labour for three days.
“I was taken to the hospital for delivery but had a big cut to enable the baby to come out and that was how I developed
VVF and RVF.
“Thereafter, I was taken to a hospital in Kano, where I underwent surgery three times without success. And from
there, I was taken to another hospital in Jos, Plateau State but instead of performing a surgery, the doctor referred
me to this VVF Unit in Zaria.
“Here in Zaria, I was operated twice but still I continue to leak urine and faeces. Notwithstanding, I am still hopeful
that maybe, just maybe if I undergo another surgery, I will be healed.”
Describing her life as “a very sad one”, Iliya said that her husband divorced her in Kano because of the condition
and she returned to her parents’ house.
She added that while trying to get better when her parents took her to the hospital, her mother and father died, leaving her all alone.
She explained that “my life is a life of agony because I was with my mother here in the hospital when she became ill and died,
four days after my second surgery. I went to her burial with this catheter on me.
“And just when I was waiting for another surgery, I received a message that my father was ill. I left the hospital to look after him
and he also died.”
However, in spite of the visibly hopeless situation, relentless Iliya said she would not give up, saying she hopes to get better and
one day give birth to a child.
She said “I have seen how some VVF survivors were operated on and were healed, went back home, became pregnant and
then returned to the hospital and delivered their babies through Caesarean Section (CS).
“This is why I am still hopeful that all is not lost and I have resolved to stay and get well so that maybe God will give me a child,” she said.
On her part, Hajiya Fatima Umar, the Head of the VVF Unit at the Gambo Sawaba General Hospital in Zaria, said there are
more than 20 irreparable fistula cases on the hospital list waiting for help.
Umar said some of the women have even made the hospital their homes, while others live in communities but maintain
contacts with the facility.
She added that “actually, the women have not been finding it easy staying in their environment or in their homes.
Sometimes if they come and they are examined, or if they hear that other doctors are coming from somewhere, they will come.
“If they come, the doctors will examine them. Even if the doctors say they can’t operate on them, they
will still come after a while because they are already comfortable with the hospital environment.
“They prefer to be in the hospital than their homes because nobody is rejecting them here.’’
Also, Dr Ado Zakari, the Fistula Surgeon and Consultant, Public Health Physician, said most of the irreparable
fistula cases were caused by quacks.
According to him, there is nothing doctors can do if the fistula is too wide, and the damage is extensive.
He said “there are situations where the damage becomes extensive and there is nothing we can
do because it is just the question of getting available tissue to repair.
“A situation where the entire tissue has been damaged, there is no way it can be repaired.
“This is because most quacks have no knowledge of anatomy; they operate anyhow. They take out everything,
even the bladder tissue and when you look at it, there is no way you can repair it.
“You cannot create any tissue anywhere and close the fistula. Fistula is a hole, it is a communication, and if it is so wide,
where will you get the tissue to repair it?.
“We have such cases; they are irreparable. We cannot repair them,” Zakari said.(NAN)
Health
Anxiety Grips FCT Residents As FG Confirms Ebola Disease Case
By Laide Akinboade, Abuja
The Federal Government (FG), on yesterday confirmed one case of Ebola disease in the Federal Capital Territory (FCT), following laboratory confirmation.
Minister of Health and Social Welfare, Prof.
Muhammad Ali Pate, stated this while briefing journalists in Abuja.He said the patient, a woman, who was from Uganda, was admitted in Abuja and the diagnosis has been confirmed.
The statement reads, “The patient, a woman who recently arrived in Nigeria on an international flight from Uganda, was admitted to a private hospital in the FCT, where she received care for several days before the diagnosis was confirmed.
She is currently in isolation and receiving medical care.“The Federal Minister of Health and Social Welfare and NCDC are working closely with the FCT Health Services Secretariat and other relevant authorities to contain the infection and prevent further spread..
“Contact tracing has commenced with 44 close contacts identified presently, with public health teams identifying and monitoring people who may have been exposed, including healthcare workers, patients, caregivers and travel contacts. Surveillance has been intensified, and the hospital is receiving immediate support to strengthen infection prevention and control measures.
“The FG calls on all public and private healthcare facilities nationwide to be on high alert. Healthcare workers must maintain a high index of suspicion, promptly identify and isolate suspected cases, observe strict infection prevention and control measures, and immediately report suspected cases to public health authorities.
“What Nigerians Should Know and Do
Ebola spreads through direct contact with the blood or body fluids of someone who is sick with the disease or has died from it, or through contact with contaminated materials. A person with Ebola cannot spread the disease before symptoms begin”.
The Federal Government therefore advised residents to remain calm but vigilant.
“Remain calm but vigilant. There is no need for panic. Practise regular hand hygiene and avoid contact with the body fluids of anyone suspected to have Ebola.
Watch for symptoms, including fever, severe weakness, headache, vomiting and diarrhoea, particularly following possible exposure.
“Report any possible exposure immediately, even if you feel well. If you develop symptoms, avoid close contact with others and call public health authorities for guidance before visiting a healthcare facility.
” Cooperate with public health teams. Anyone contacted during contact tracing, including relevant airline passengers, should provide the necessary information and follow public health advice.
“Avoid rumours and stigma. Share only verified information from official health authorities” .
The Minister recalled, “Our Assurance to Nigerians. Nigeria successfully contained Ebola in 2014, and we have the experience and public health systems to respond to this case. However, containing Ebola requires everyone to play their part.
“The Federal Government, FCT authorities and other partners are working together to protect healthcare workers, patients and the wider public. Investigations are ongoing, and we will continue to provide accurate and timely information.
” We urge Nigerians to remain calm, stay vigilant and cooperate with public health authorities. Early detection, prompt reporting and everyone’s cooperation are critical to preventing further spread.
“The Government of Nigeria through the Presidential Taskforce on EVD and NCDC will continue to provide updates.
NCDC free call centre is available 24 hours a day, seven days a week. For information or to report a suspected case, please call NCDC toll-free number 6232″.
Health
Tuberculosis: Benue Assembly Passes Law, to Protect Patients from Discrimination
By Laide Akinboade, Abuja
The Benue State House of Assembly has passed into law a landmark legislation aimed at eliminating tuberculosis (TB) and protecting persons affected by the disease from discrimination and human-rights violations.
The legislation, known as the Tuberculosis Elimination, Human Rights Protection and Anti-Discrimination Law of Benue State, 2026, was passed into Law during Thursday plenary presided over by Speaker, Rt.
Hon.Berger Alfred Emberga, MNIQS, RQS, following consideration of the report of the House Standing Committee on Health and Human Services.The committee, chaired by Hon. Matthew Damkor, Ph.D., said the legislation was necessary to provide a comprehensive legal framework for tuberculosis prevention, diagnosis, treatment, care and control across the state.
The law also seeks to safeguard the rights of persons affected by Tuberculosis (TB), including their rights to dignity, healthcare, privacy, information, employment, education and social protection.
In its report, the committee identified several areas of the original Bill that required amendment, particularly provisions relating to federal laws and institutions, implementation responsibilities, screening and isolation, enforcement mechanisms, offences and penalties.
The committee recommended the removal of provisions purporting to amend federal legislation, particularly the Employees’ Compensation Act, 2010, noting that such amendments were inappropriate for state legislation.
It also recommended that references to federal institutions as implementing authorities be replaced with relevant Benue State institutions, while allowing for lawful collaboration with federal authorities.
The committee further recommended that the Commissioner for Health and Human Services, through the Ministry of Health and relevant state agencies, be clearly designated to coordinate the implementation of the law.
On the protection of fundamental rights, the House called for clearer safeguards in provisions dealing with TB screening, isolation and restriction of movement, including informed consent, confidentiality, medical necessity, proportionality and the use of the least restrictive measures.
It also recommended the establishment of an accessible mechanism for receiving complaints, addressing discrimination and providing remedies to persons whose rights may have been violated under the law.
The House further urged relevant agencies to ensure that offences and penalties under the legislation are clearly defined, proportionate and enforceable.
After considering and adopting the committee’s recommendations clause-by-clause, the bill was read for the third time and subsequently passed into law by the Speaker, Rt. Hon. Emberga following a unanimous consideration and adoption by members.
The Tuberculosis Law which was sponsored by Hon. Dr. Simon Gabo of Mata State Constituency and others, is expected to strengthen Benue State’s response to tuberculosis and provide a stronger legal framework for protecting persons affected by the disease from stigmatization, discrimination and other rights violations.
Meanwhile, Civil Society Organisations, Lawyers Alert and Media Health and Rights Initiative of Nigeria, MHR, have commended the Benue State House of Assembly for taking steps to strengthen the state’s response to tuberculosis, and protect the rights of persons affected by the disease.
In a joint statement, the President of Lawyers Alert, Rommy Mom and the Executive of MHR, Alu Azege said the Bill brings health and human rights dimensions of TB into legislative conversation in the state.
Health
Agency Seals 12 Islamic Medicine Stores, One Clinic in Niger Crackdown
The Niger State Private Health Facilities Agency (NiSPHFA) has sealed 12 unregistered Islamic medicine stores in Minna and a health facility in Katcha Local Government Area (LGA).
The Executive Chairman of NiSPHFA, Dr.
Abdullahi Suleiman, disclosed this while receiving members of the Islamic and Prophetic Medicine Practitioners’ Association of Nigeria (IPMPAN) in Minna.The enforcement is part of the agency’s renewed efforts to protect residents from unsafe healthcare practices and ensure compliance with minimum standards.
Suleiman said the facilities were sealed over alleged non-compliance with regulatory standards.
According to him, the enforcement is not aimed at persecuting healthcare providers but at ensuring residents have access to safe, quality, and standard-compliant healthcare services.
“Our responsibility is to protect the people by ensuring that anyone providing healthcare services operates within the required standards,” he said.
He urged genuine alternative medicine practitioners to register with NiSPHFA, saying registration would enable the agency to identify operators, monitor their activities, and protect residents from unsafe products and practices.
Suleiman also announced plans to organise a trade fair for verified alternative medicine practitioners to promote legitimate practices and improve public confidence in alternative healthcare.
He emphasised the need for practitioners to maintain minimum standards of hygiene, sanitation, safe preparation and storage of medicines, proper packaging, and infection prevention.
“Practitioners should refer patients whose conditions are beyond their capacity to appropriate health facilities. Such referrals will help reduce avoidable health risks,” he said.
The chairman said sustained enforcement, stakeholder collaboration, and improved compliance would enable NiSPHFA to safeguard residents and promote a safer, more accountable, and quality-driven healthcare system across the state.
He said the NiSPHFA enforcement team inspected 10 health facilities in Katcha local government and identified various irregularities requiring improvement.
Suleiman said the affected facilities were issued 21-day notices to correct the identified deficiencies.
“One of the facilities inspected was sealed for non-compliance with established standards,” he said.
He added that the agency also secured the support of the local government area in identifying and addressing facilities operating with irregularities.
IPMPAN Chairman, Abdullahi Haske, commended the state government for establishing NiSPHFA.
He pledged the association’s cooperation in ensuring that its members complied with regulatory requirements.


