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Menstrual Hygiene Solutions: Kaduna Girls Take Action

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Menstrual hygiene solutions: Kaduna girls take action

Adolescent girls in Kaduna State, North-West Nigeria are currently behind the sale of over 15,000 packs of reusable menstrual hygiene products worth N3.

5 million, in a scheme that has become not only a means of livelihood for communities, but has also improved quality of life for the users.

The difficulties girls go through to get sanitary pads can only be imagined, especially so in rural communities or slums. One of such areas where this challenge manifests is Rigasa; is a densely populated urban slum in the south west of Igabi Local Government Area in Kaduna State.

Mr Yusha’u Abubakar, Founder and Executive Director, Enhancing Communities Action for Peace and Better Health Initiative (E-CAPH), said the issue of sanitary pads was a challenge in the community because of poverty and lack of economic empowerment.

“When the United Nations Population Fund (UNFPA) called for an application for a project to support adolescent girls and boys, we decided to apply with focus on this area because it is a challenge.

“We sent our proposal and UNFPA found it worthy and supported us to train young girls in our community.”

He said 200 girls were trained on making reusable sanitary pads, adding that the initiative has improved school attendance of girls in the community as well as taken care of their menstruation hygiene challenges.

Impact of the training on the girls

Fatima Abdullahi, 18, is one those trained by E- CAPH and described the experience as overwhelming because she now produces it for her personal use and for trade.

“I was used to begging for money to buy pads or forced to use other materials in spite of its discomfort for my period. Now I help myself and others with my trade,” she said.

Similarly, Asma’u Mohammed, 18, said she was happy for the acquired skill that has made her self-reliant.

“With this, I don’t have to ask my parents for everything I need, because I can now earn little money by making sanitary pads for my peers.”

Sanitary pad boosting economic empowerment of the community

Albabatu Musa, Manager and Coordinator, E-CAPH Skills Acquisition Centre, said the accessibility of the reusable pad has made it a preferred choice for most girls in the Rigasa community.

“The reusable pad is made up of cotton-based materials because of its absorbable nature and easy access in the market.

“So far, 15,000 packs of three pieces each, have been produced at the centre and sold for N3.5 million to a client in Borno State.

“At the open market, a pack is sold for N500 and for every pack, there is a gain (profit) of N150. The product is in high demand,” she said.

Musa said the pad was highly profitable and cost effective because it can be used for a minimum of 3 months and a maximum of 6 months.

“A pack of three go for N500 with a profit margin of N150. The trained adolescents were currently making the reusable pad for their personal use and sales.”

Support by the UNFPA in the Rigasa pad project

Ms Mariana Darboe, the Programme Coordinator and Head of Office, UNFPA Decentralised Office for Northern Nigeria, said the reusable sanitary pad project was part of the livelihood support training as a COVID-19 response to alleviate poverty in communities.

She said the project was supported by the funds Risk Communication and Community Engagement (RCCE) project under the UN Basket Fund support for COVID-19 response in Nigeria.

Darboe added that the RCCE initiative was to curb the risk and impact of gender-based violence and interconnecting sexual and reproductive health consequences.

A mother’s burden lifted

A mother of four, Sadiya Ibrahim, said the reusable sanitary pad had reduced her stress “because most times during their menstrual period I am helpless to help my four girls with the needed money to buy sanitary pads.

“Sometimes they feel uncomfortable saying that they are on their period, so they just use available pieces of clothes to help themselves.

“Whenever they use clothes, they spend most of their time in the room because it makes them uncomfortable.”

How we got the buy-in of the communities considering the religious and cultural challenges

In most communities in northern Nigeria, talking about reproductive health issues among women and young girls is considered a no-go area. E-CAPH executive director Abubakar said the initiative surmounted this major limitation and got the buy-in of the community through advocacy.

“We were able to make people understand what sexual and reproductive health issues are all about and the need for parents to talk to their children about sexual reproductive health issues.

“The religious and community leaders provided the platform for us to talk to young girls in Islamiyah schools, women groups gathered their children and invited us to talk to them.

“This strategy helped in increasing the acceptance of talking about the issues in communities where it is hitherto difficult to do so.”

How the girls monthly dilemma turns to joy

Some users of the sanitary pads narrated their experiences on how it changed their monthly dilemma to joy.

Kadijah Salis, 17: “I use pieces of clothes due to lack of money to buy a pad. Sometimes I am forced to stay at home to avoid embarrassment in school because most times the clothes leak and stain our uniforms.

“The reusable pad is the best thing that has happened to some of us from poor households.

Sadiya Aliyu, 18, said she only got to hear of the reusable pad recently, adding that it is “better because I can use it for six months and it is very comfortable. I only need two for a whole year”.

The way forward for menstruation hygiene in Rigasa

The Founder and Executive Director of E-CAPH said that the initiative was able to overcome the challenges of non-acceptance by the community that was religiously inclined not to discuss matter relating to women and especially women monthly menstrual cycle.

This, he said, was due to the various trainings personnel of his organisation went through.

From these training “we were able to understand the role of religious leaders, community leaders, women and youth groups in advocating for reproductive health and family planning.

“There was equally a book produced by NUHRI on religious (Islamic and Christian) perspectives to family planning.

“We used the book in partnership with religious leaders and women groups to advocate for the acceptance of the family planning and reproductive health issues in communities.

“We were able to help them understand more about sexual and reproductive health issues. This led to the acceptance by parents to talk to their children and wards about sexual reproductive health issues.

Abubakar said that with the achievement so far recorded in helping the girls to better manage their menstrual hygiene, development partners, state government and local government areas should support the initiative to increase access by the poor and vulnerable adolescent girls in urban and rural areas.(NAN)

Health

Agency Seals 12 Islamic Medicine Stores, One Clinic in Niger Crackdown

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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.

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Stakeholders Seek Improved Health Budget Implementation, Accountability in Kaduna

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Stakeholders have called for improved implementation, tracking and accountability of health sector budgets to strengthen healthcare delivery and advance Universal Health Coverage (UHC) in Kaduna State.

They made the call during an engagement on strengthening participatory budget processes, health budget tracking and advocacy on Saturday in Kaduna, with emphasis on the 2027 budget process and implementation of the Annual Operational Plan (AOP) for the health sector.

Seth Luke, a Civil Society Coach on strengthening participatory budget processes under the Open Government Partnership (OGP) Kaduna, said the engagement was aimed at strengthening the capacity of OGP Technical Working Groups and state and local government accountability mechanisms to effectively participate in budget processes and advocacy.

Seth said the engagement was particularly focused on the health sector, including tracking the implementation of the Annual Operational Plan as the state commenced preparations for the 2027 budget.

 “We want to see how we can track the implementation of the Annual Operational Plan for the health sector and, from our findings, bring out recommendations around improving funding and other areas that require attention,” he said.

He said the government needed to prioritise health financing beyond budgetary allocation by ensuring effective implementation of approved programmes and projects.

According to him, budget allocation represents government plans based on expected revenue, but available resources should be prioritised toward activities capable of improving healthcare and service delivery at the grassroots.

Seth urged participants to use the knowledge and findings from the engagement to engage relevant government stakeholders on improving health financing and budget implementation.

He also encouraged them to extend the knowledge gained to other sectors and continuously engage government on budgeting, accountability and service delivery.

Similarly, Garba Mohammed, Co-Chair of the Kaduna Maternal Accountability Mechanism (KADMAM), said the engagement was aimed at reviewing health budget performance against key indicators linked to maternal mortality reduction and child survival.

Mohammed said participants examined first and second quarter performance, particularly in areas such as family planning, Maternal, Newborn and Child Health (MNCAH), nutrition, malaria, immunisation and essential medicines.

He said family planning interventions largely involved commodities at the primary healthcare level, while MNCAH activities remained largely donor-dependent.

Mohammed commended the Kaduna State Government for meeting the Abuja Declaration benchmark of allocating at least 15 per cent of its annual budget to health.

He, however, expressed concern over gaps in the implementation of some critical health budget lines, stressing that allocation alone was not enough to improve health outcomes.

 “We have looked at the budget allocation, and Kaduna State has met the 15 per cent Abuja Declaration benchmark. We commend the state for that. However, there are still issues around budget performance in critical health indicators,” he said.

He said the findings would be used to identify advocacy priorities and engage key government decision-makers, including the Ministry of Health, Planning and Budget Commission, Ministry of Finance and other relevant authorities.

Mohammed said participants were expected to understand the relevant health budget lines and their implementation status and use the knowledge to undertake evidence-based advocacy in their respective organisations.

Meanwhile, Yusuf Guje, Executive Director, Civic Impact for Sustainable Development Foundation (CISDF), and a participant at the programme, told the News Agency of Nigeria (NAN) that the engagement was timely in strengthening the capacity of civil society and accountability mechanisms.

Guje said the programme would deepen participants’ capacity in budget tracking, project monitoring and social auditing, particularly within the health sector.

He described the health sector as a critical pillar of development, saying civil society organisations had an important role to play in complementing government efforts through effective monitoring and accountability.

He said CSOs needed to strengthen their ability to analyse budgets, track expenditure and visit healthcare facilities to determine whether appropriated and released funds were being properly utilised.

“Civil society needs to really improve on how effectively we analyse the budget, how we track the spending, and go down to the various facilities to see how well the money appropriated and released is being utilised,” Guje said.

He said effective monitoring would help determine the extent to which communities benefited from government investments in healthcare.

According to him, Kaduna State’s commitment to Universal Health Coverage could only be strengthened through sustainable health financing and effective accountability mechanisms.

Guje described CSOs as representatives of communities that often lacked the knowledge, skills and platforms required to engage government on public policies and resource allocation.

He therefore urged civil society actors to continuously strengthen their capacity to represent citizens effectively, particularly in health financing advocacy and accountability.

 “As civil society, we need to remain committed to holding the government accountable where necessary and tracking the entire health financing process,” he said.

Guje said the ultimate objective of budget tracking and social accountability was to ensure value for money in public expenditure on health.

He added that effective monitoring of public finances would contribute to improved healthcare delivery and better health outcomes at the grassroots. (NAN)

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C’River Makes Health Insurance Compulsory for Civil Servants

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Cross River Government has made enrolment in the state Health Insurance Scheme compulsory for all civil and public servants in the state.

The Head of Service, Bassey Okon, announced this in a circular dated Sept.

3, following the official relaunch of the Formal Sector Enrolment Programme of the Cross River State Health Insurance Agency.

According to the circular in Calabar, at the weekend, the directive takes immediate effect.

Okon stated that the policy was meant to ensure that all the civil and public servants had access to affordable, quality, and timely healthcare services, while strengthening the welfare and productivity of the state workforce.

He directed all the civil and public servants to enroll in the scheme and comply with the registration and documentation requirements of the agency.

The circular also introduced a mandatory requirement for officers to attach valid health insurance enrolment cards to official correspondences relating to personnel matters.

“Correspondences concerning promotion, confirmation of appointment, loan applications, study leave, training or sponsorship, transfer or secondment, as well as other personnel-related requests or benefits, would not be processed without the attachment of a valid health insurance enrolment card,” it stated.

To facilitate the enrolment process, the government established enrolment points at the Office of the Head of Service, New Secretariat, Calabar, and the Ministry of Health, Old Secretariat, Calabar.

Okon directed all Heads of Ministries, Departments, and Agencies (MDAs) to ensure that officers under their supervision were duly informed about the circular and made to comply with the enrolment requirement without delay.

He also urged concerned officers to take advantage of the designated enrolment points for guidance and assistance and to complete their enrolment as required.

He further directed all the heads of the MDAs to bring the contents of the circular to the attention of all civil and public servants under their supervision. (NAN)

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