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Teenage Pregnancy: Preventing House Burning with Effective Budgeting

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By Abujah Racheal

While her peers were preparing to sit for the West African Senior School Certificate Examination, 16-year-old Zuhara (not real name) was withdrawn from school in May 2025. The reason is that she became pregnant.In her remote village of Shere, a community located about 13km from an urban centre, access to healthcare is limited and conversations about sex, menstruation and contraception are not robust.

Zuhara said she walked nearly 50km to school and travelled long distances to get basic medication.
Zuhara’s story mirrors the lives of many Nigerian female adolescents.In a country with one of the highest adolescent fertility rates in the world – 117 births per 1,000 girls aged 15 years to 19 years, adolescents like Zuhara remain trapped in cycles of silence, stigma and lost potential.
This crisis formed the heart of the recent National Policy Dialogue on Improving Adolescent Access to Quality Sexual and Reproductive Health Services convened in Abuja by Nigeria Health Watch and partners.With the 2030 Sustainable Development Goals deadline approaching and donor support shrinking, the desire of stakeholders is that Nigeria should do its best to adequately fund girls’ reproductive health and rights services.Nigeria’s commitments under the FP2030 family planning initiative are ambitious, with stakeholders hoping earnestly for its effective delivery.A recent Integrated Community Listening Survey conducted in six states by Nigeria Health Watch revealed that 50 per cent of respondents, especially those aged 18 years to 34 years, still struggle to access Sexual and Reproductive Health and Rights (SRHR) services.Nwankwo said that cultural norms and misinformation remained major barriers to accessing the services.Dr Tomi Coker, Commissioner for Health, Ogun, said that the state got 0.04 dollars per capita in donor funding. Coker said in spite of that situation, Ogun had remained committed to providing the services, funding its MAMI project, procuring essential medicines, and sustaining supply chains through state resources.According to her, the success was made possible by a co-funding model introduced by The Challenge Initiative (TCI), which shifts responsibility from donors to governments’ overtime.In Kano State, innovation is driving change, according to Mr Aminu Bashir, Permanent Secretary, Kano State Ministry of Health.Bashir said that the state had established the Kano Health Trust Fund, which he described as the first of its kind in Nigeria.Bashir added that the fund pooled resources from all 44 local government areas of the state and the state’s internally-generated revenue, with a dedicated percentage allocated to family planning.He said that the commitment was supported through a tripartite arrangement involving the Bill & Melinda Gates Foundation, the Lafiya Project and the Kano State Government, enabling sustained funding for SRHR interventions.For Malam Talle Ghali Dambazau, an Assistant Director of Education working on adolescents and reproductive health in Nigeria’s education sector, state-level implementation of the Family Life and HIV Education (FLHE) curriculum is key.Dambazau called for deeper collaboration between national and subnational governments to ensure that trained teachers and linked health services would reach young people effectively.He noted that in 2023, the Federal Ministry of Health and the Federal Ministry of Education jointly committed to a national framework for youths’ well-being, which aimed to integrate school-based education with health services, psychosocial support and hygiene interventions.Prof. Muhammad Ali Pate, Nigeria’s Coordinating Minister of Health and Social Welfare, emphasised that family planning was not just a health issue but also a strategic lever for economic growth, gender equality, and national resilience.Pate reaffirmed the ministry’s commitment to delivering integrated, rights-based SRHR services, highlighting strategic priorities such as expanding youth-friendly health services, deploying digital platforms and mobile clinics, and strengthening supply chains through the Procurement and Value Chain Advisory Council.He also highlighted enhancement of data systems via DHIS2 to enable real-time disaggregated decision-making.In all these, some stakeholders said that implementation across states remained patchy, arguing that with Nigeria’s education system, curriculum delivery in FLHE had often been inconsistent and poor for adolescent females in remote communities.They emphasised the role of technology in the delivery of services.Dr Fatima Bunza, Country Director of Tiko Nigeria, recommended a hybrid solution using smartphone-based services and eco-cards distributed by trained mobilisers.Also in an efforts to provide solutions, Lola AI, a WhatsApp-based tool developed by Healthtracka, is providing confidential SRHR information to female adolescents.Ms Mashishi Mokgadi, Africa Access Lead at Organon, shared the story of one a 15-year-old Lucy, who became pregnant due to lack of contraceptives, dropped out of school, and was married off.She gave the assurance that Organon had committed to preventing 120 million unintended pregnancies by 2030.She said that the organisation was already over halfway to achieving the goal.She called on African governments to create specific budget lines for family planning, eliminate legal barriers that restricted adolescent access to services and begin to frame health budgets as an investment rather than a cost.Ms Margaret Bolaji, Youth Partnerships Officer at FP2030, advocated youth-led accountability mechanisms and highlighted tools such as the “Lemon” STI self-testing kits for girls.Ms Peace Umanah of IYAFP said, “Stop being vague. Funders are moved by authenticity. We must speak from our lived experience.”Analysts urge intensified efforts to prevent adolescents from dying in childbirth or getting stuck in poverty due to preventable pregnancies, saying that adolescents such as Zahara should be seen, heard and empowered.They strongly believe that political will and financial commitment are needed to achieve the aims, saying that funding adolescent SRHR is a long-term investment in Nigeria’s future.They are hopeful that Nigeria will do more to increase and sustain investments in its female adolescents in an effort to achieve Sustainable Development Goals and build a bright future for them and the country at large. (NAN)

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Stakeholders task FG on making Uterine Health a priority

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By Laide Akinbpade, Abuja

Stakeholders in the Health sector on Thursday, tasked the Federal Government (FG), to make women uterine health a priority in Nigeria.

This appeal was made at a one-day strategic roundtable on Uterine Health in Nigeria, organized by Federal Ministry of Health and Social Welfare (FMoH&SW) with The White Ribbon Alliance Nigeria and Youterus, in Abuja.

Uterine health is the overall condition and functionality of the uterus encompassing, it’s structural integrity and ability to perform its various roles such as menstruation and carrying a pregnancy.

Uterine health conditions like fibroid, abnormal uterine bleeding, endometriosis, chronic pelvic pain, endometrisis and menopause impact on millions of Nigerian women but are often excluded from national health policies and services.

It has been discovered that fibroid alone accounts for 30% of gynecological consultations at Nigerian tertiary hospitals.

With Uterine health missing from from the key national framework, it is therefore imperative for government to give it a priority.

Dr. Binyerem Ukaire said, women are the bedrock of every nation and are crucial to social economic development of any nation. A woman reproductive health cannot be good without good uterine health.

Dr. Samuel Oyeniyi, Director Reproductive Health, Division FMoH &SW, in his paper presentation titled, ‘Uterine Health and its public health importance in Nigeria’, at the occasion said Uterine Fibroids are extremely common affecting approxemately 12.1% of Nigerian women about 12.8million women nationwide

“Among black women the lifetime risk rises to 80% by age 50. Fibroids are major cause of hospital visits and gynecological surgeries leading to symptoms such as chronic pain, heavy menstrual bleeding, anemia and infertility, most women affected are in their productive age.

“Endometrisis affects upto 48.1% symptomatic Nigerian women in some studies, causing severe pelvic pain, painful menstruations and infertility and diagnosis takes between 7 to 10 years.

“PCO affects 17 -28% of Nigerian women disrupting mentrual cycles and causing hormonal imbalance that can lead to diabetes, obesity and cardiovascular risk and can be undertreated or underdiagnosied.

“While Pelvic Inflammatpry Disease (PID), affects 116 per 100,000 women in West Africa, making it a leading cause of infertility and ecotopic pregnancy in Nigeria.

“Cervical cancer causes more than 8,000 deaths and more than 13,000 new cases yearly in Nigeria . it is prevented by HPV vaccines and about 12 million Nigerian girls have been reached “.

But he said Nigeria’s Non-communicable Disease (NCD), action plan provide an opportunity to include chronic uterine conditions.

He concluded in his presentation by saying, investing $1 in uterine health would yield $9 in benefits.

Dr. Nana Chidi Emmanuel Chairperson, Board of Trustees White Ribbon Alliance Nigeria, in her welcome speech at the roundtable said it is imperative that women health especially uterine health should be prioritized in Nigeria’s health system.

She said currently women are going through a lot psychologically, mentally and other wise, so women health must be a priority to any government all over the world.

She said, “Chronic uterine conditions such as fibroids, abnormal uterine bleeding, and endometrosis affect millions of Nigerian women and girls, causing immeasurable suffering, recurrent medical crises, and economic hardship. Despite this immense burden, women facing these conditions have long confronted silence, stigma, and systemic neglect. Too often, their pain is dismissed, their diagnosis delayed, and their pathways to care—financially and logistically—out of reach.

“Today, together with our committed partners at Youterus Health, we affirm our collective will to change this narrative. We aim to place uterine health at the center of national policies in Nigeria and Africa, financing, and service delivery—moving it from the margins of awareness into the mainstream of Nigeria’s health and development agenda.

“Let us remember that at the heart of these deliberations are the stories and hopes of real women and girls—mothers, daughters, sisters, friends—who endure the daily realities of untreated uterine conditions. Their experiences fuel our urgency and remind us all why this work matters deeply. Our collective efforts here today can catalyze meaningful change that restores health, dignity, and hope.

“WRA Nigeria firmly believes that the leadership of the government working hand in hand civil society and the private sector, is essential to drive durable, just, and people-centered changes. It will take our united voices, innovative models, and steady commitment to dismantle the barriers that have persisted for too long”.

Fatou Wurie, the Chief Executive Officer and Founder of Youterus Health,
in her welcome speech said, uterine health affects millions of Nigerian women and it is under developed women wellbeing and it impact, not only the physical health but social and economy of any nation.

And this uterine health challenges have caused immeasurable suffering in women in Nigeria.

She lamented that most often the pain women feel is ignored and diagnosis delayed.

She said it is imperative for Federal Government to place uterine as a national priority that should be taken up.

“Uterine Health has long being an issue in the world. Uterine Health should be a national issue that should be on a top burner. We are really looking forward to government priotising uterine health in Nigeria”, she said.

Austin Akpakwu, from the office of the Vice President, who represented the Senior Special Assistant to Vice President on Public health, said the office of the Vice President, is keen to support in addressing the uterine health challenges in Nigeria, “It is a laudable project and the office of Vice President is very keen in supporting this project. I have a junior sister that has uterine health issue and that is presently in the hospital so this is very important issue and all hands must be on desk to address it”.

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NAFDAC Generates N2.5bn from Illicit Drug Market Raids

By Ubong Ukpong, Abuja

The National Agency for Food and Drug Administration and Control (NAFDAC) on Wednesday, said that it generated N2.5 billion from its recent raids of illicit drug markets in Lagos, Onitsha, and Aba, respectively.

Director-General of the agency, Prof.

Mojisola Adeyeye, who revealed this during a session with the House of Representatives Committee on Food and Drug Administration and Control, said the funds were fines collected from traders found guilty of selling fake or substandard drugs during recent enforcement actions in open markets across the country.

While stressing that all funds were paid directly into NAFDAC’s official account, she noted that N996 million was spent on enforcement operations, N159 million was borrowed from a donor grant, and N1.175 billion went to regulatory expenses.

According to her, the agency was left with about N206 million after deductions.

She said the operation, which deployed over 1,300 security personnel, uncovered widespread violations ranging from expired and unapproved drugs to poor storage practices.

Adeyeye said the enforcement drive, which lasted up to four weeks in some locations, uncovered serious threats to public health.

She disclosed that some shop owners were caught distributing banned substances like Tramadol and selling expired or unregistered medicines.

“These charges were not punitive but necessary. The standard fine for violating Good Distribution and Storage Practice (GDSP) is N2 million, but in many cases, we reduced it to N500,000,” she said.

She, however lamented that the agency’s inability to sustain such critical operations is being crippled by severe revenue restrictions imposed by the federal government

While decrying the financial constraints facing the agency, Adeyeye explained that at the end of 2023, NAFDAC had N19 billion in its accounts 

The DG however noted that N9 billion was removed before the agency could access it, and only N4.5 billion was eventually released.

Speaking of the agency’s 2024 raid in Kano, she described the operation in the Northwestern state as a monumental and court-mandated intervention that differed significantly from the raids conducted in Lagos, Onitsha, and Aba.

She said the Kano raid was anchored on a judgment delivered on February 16, 2024, by the Federal High Court which ordered the relocation of open drug market traders to the newly constructed Coordinated Wholesale Centre (CWC), known as the Kanawa Pharmaceutical Centre.

Adeyeye clarified that no administrative charges or fines were collected during the Kano enforcement, due to the urgent and court-directed nature of the operation.

The DG however noted that post-marketing surveillance was carried out after relocation.

She added: “These are the lives we are trying to save. We had no funds at the time our accounts had just been shut down and reopened with zero balance at the start of January 2024. Yet, we had to carry out the court judgment and move over 1,300 shops into the regulated centre.”

Adeyeye stated that Kano was the only state that had built its CWC as mandated by a presidential directive, long before her tenure began.

Responding to lawmakers’ concerns that Kano traders were treated more leniently compared to the operations in the southern part of the country, she said the agency followed due process, guided by the urgency of the court judgment and prevailing security risks.

Clarifying the financial situation of the agency, Director of Finance and Accounts, NAFDAC, Adeniji Nma, said the Office of the Accountant-General of the Federation (OAGF) had unilaterally classified NAFDAC as a revenue-generating agency and begun sweeping up to 50 per cent of all revenue inflows into the federal treasury.

Because of it, we find it difficult to do most of our operations.”

After the presentation, a member of the committee, Hon. Emeka Idu, requested a detailed breakdown of the revenue generated from each location where fines were collected during the enforcement operations.

The NAFDAC team was unable to provide the breakdown at the hearing.

Chairman of the committee, Regina Akume, noted that the agency’s presentation was incomplete.

The committee, consequently, directed the agency to return with a comprehensive, location-by-location account of the N2.5 billion generated from the raids.

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Adamawa Police Boost Capacity to Handle Gender-Based Violence Cases

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From Yagana Ali, Yola

The Adamawa State Police Command, in collaboration with the United Nations Population Fund (UNFPA), has begun a second-phase step-down training on Gender-Based Violence (GBV) for its gender desk officers.

The training, held at the command’s conference hall in Yola, brought together 80 personnel, divided into batches A and B.

The Commissioner of Police, Morris Dankwabo, represented by Deputy Commissioner of Police John Sandere, urged the personnel to utilize the training to change the narrative of public perception on police handling of GBV cases.

Sandere emphasized the importance of updating their knowledge on GBV to effectively address the scourge in the state.

Resource person Balkisu Ahmed called on the general public and the police to work together to bring an end to GBV cases in the state.

Ahmed noted that every individual, organization and government is working hard to ensure perpetrators are brought to book and survivors receive justice.

The Police Public Relations Officer, Sulaiman Yahaya Ngroje, assured that the command is committed to ensuring that personnel knowledge is up-to-date on handling GBV cases and that justice is done to survivors.

Inspector Ijidugal Mperiju, Gender Desk Officer, Girei Division, commended the Adamawa Police Command for stepping down the training, saying it will enrich their knowledge on handling GBV cases and enable them to work diligently.

The training is a significant step towards enhancing the capacity of Adamawa State Police personnel to handle GBV cases effectively. The collaboration with UNFPA demonstrates the command’s commitment to protecting the rights of citizens, particularly vulnerable groups.

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