Nigeria: Our Impact

 {Photo credit: Francis Duru/MSH.}After being widowed in 2008, CUBS helped Bridget Egesi start a pharmacy so she could earn an income to suport her five children.Photo credit: Francis Duru/MSH.

Forty-year-old Bridget Egesi has been the sole caretaker of her five children since her husband’s death in 2008. Until recently, Bridget pieced together an income by washing laundry, cleaning her neighbors’ cars, and working as a security guard.

 {Photo credit: Augustine Igwe/MSH.}Elizabeth Osesi was an orphan, struggling to make ends meet, when CUBS helped her start her own business so she could earn an income to support herself and her brother.Photo credit: Augustine Igwe/MSH.

Elizabeth Osesi’s parents were peasant farmers in Delta State, Nigeria. Watching her mother and father struggle to meet their family’s basic needs, Elizabeth dreamt of finishing secondary school, learning a trade, and earning money to support her family. But, in 1999, Elizabeth’s father died and, five years later, her mother passed away as well.  Elizabeth, just 15 at the time, was left alone to care for herself and her younger brother.  When they could not pay the fees, the siblings were soon forced to leave school. 

Abiodun Awosusi.

Endorsed by global stakeholders like the World Health Organization (WHO), World Bank, UN General Assembly, and African Ministers of Health and Finance, universal health coverage (UHC) is gathering momentum in the post-2015 health development agenda. As countries and international organizations consider how to address maternal and child mortality, unmet need for family planning, and other poor health indicators and outcomes, UHC is seen as a way to help countries have the mechanisms needed to increase access to lifesaving, quality care.

 {Photo by Akintunde Akinleye, courtesy of Photoshare}Nigerian woman.Photo by Akintunde Akinleye, courtesy of Photoshare

Management Sciences for Health’s Nigeria Program to build Leadership and Accountability in Nigeria's Health System (PLAN-Health) supported the Federal Capital Territory (FCT) Health and Human Services Secretariat of the Health Planning, Research and Statistics department to develop an eHealth policy. The eHealth policy is a set of principles and actions to guide implementation of healthcare practices supported by electronic processes and communication, including the use of health applications on mobile phones.

 {Photo credit: Adedayo Adeyemo/MSH}CUBS staff explore the mobile application.Photo credit: Adedayo Adeyemo/MSH

By Obialunamma Onoh, Zipporah Kpamor, Ugboga Adaji,Benjamin Akinmoyeje, Hope Ohiembor, Irene Amadu, Steven Shadrack, and Tokara Kabati  HIV & AIDS impacts millions in sub-Saharan Africa, contributing to a steady growth in the population of orphans and vulnerable children (OVC). In 2008, data from Nigeria’s Federal Ministry of Women Affairs showed that 25 percent of Nigerian children were orphans or considered vulnerable due to unmet needs for nutrition, education, shelter, care, or support.

 {Photo credit: MSH Nigeria.}APYIN staff.Photo credit: MSH Nigeria.

The Association for Positive Youth Living with HIV/AIDS in Nigeria (APYIN) promotes sexual and reproductive health rights of young people in eight Nigerian states. However, the project was experiencing some challenges with streamlining activities, recordkeeping, and assuring the quality of services. As a result, APYIN was underperforming and at risk of losing donor funding.

 {Photo credit: Dr. Saddiq Abdulrahman}Dr. Tali Butkap addresses community members during a sensitization meeting in Waru.Photo credit: Dr. Saddiq Abdulrahman

Waru is an underserved and hard-to-reach indigenous community in the Federal Capital Territory (FCT) of Nigeria. Until recently, this community did not have a safe waste disposal system and the majority of homes did not have toilets. Residents often dumped their garbage in open fields and defecated in bushes. This haphazard disposal of human waste and garbage caused Waru’s water sources and environment to become contaminated and, in turn, many residents suffered from diarrhea, cholera, intestinal worms, malaria, and typhoid.

{Photo credit: Musa Usman/MSH Nigeria}Caregivers sorting by-products during oil production.Photo credit: Musa Usman/MSH Nigeria

Nigeria is home to nearly two million AIDS orphans. Providing for these children is challenging for the nation’s many impoverished residents and communities. Without proper care and support, vulnerable children often face discrimination, neglect, abandonment, malnutrition, abuse, trafficking, and forced labor.

Twelve-year-old "Femi" from Ekiti State, Nigeria, was orphaned in 2010 and is now living with his grandmother. Because his grandmother has no reliable source of income, Femi works at his uncle’s car repair shop after school. He earns a small daily stipend, but it isn’t enough to pay for his school fees and supplies, so Femi often attends school in an old uniform and without the required materials. Looking untidy and malnourished, Femi often feels shy, has difficulty making friends, and struggles to concentrate on his school work.

"Ihemesi" community in Imo State, Nigeria has a single health center that serves nearly 10,000 residents. Malaria, typhoid fever, and malnutrition are common and many caregivers cannot afford to pay for their children to be treated at the health center. Often the health center would turn away children who could not pay.