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Tag Archives: EFFECTIVE SRHR MOVEMENT IN NIGERIA

CHILD BRIDE: IT’S LONG TERM AFTERMATH

By: Innocent Doris U.

 

 

 

 

 

 

 

 

 

 

“As we let our own light shine, we unconsciously give other people permission to do the same”.     – Nelson Mandela

Agnes sat down on the platform at the back of her house staring into space, her mind whirring like an electronic fan at its highest pace. As a young woman at 28 who has 6 children for a man who kidnapped her as a child and was forced by her uncles to remain with him, tradition they called it. She was only 14 and newly orphaned. Her life from then on turned inside out and all she had become accustomed to was a dark tunnel, at no time did she see the light as there was no one to show her the way. For the past 14 years of her life, she has endured a place worse than hell, because of her helplessness first as a child and subsequently as a mother who feared to lose her children. Her 4 beautiful girls and 2 little boys who were still running about in their knickers in their childish innocence, oblivious to the reality around them except for when their mother becomes a punching bag, which happens very often.

She smiled on the platform, so much sadness, anguish and pain in her eyes as she relived the past 14 years of her life. Life has been so cruel to her, as she endures constant pain, abuse, rape, neglect and even torture. She definitely didn’t suffer alone, any child who dared come between her and the man who calls himself her husband when he is beating her, would be beaten as well.

Samson really personified his name on her body, he was tall, dark and handsome, such an irony to his personae. It would be too kind to call him a beast, because even beasts have time for rest. He always found an excuse to hit her, rape her or even torture her, sometimes in the presence of their children. He also didn’t relent in saying terrible things to their children about her. This was the system that enabled her conceive 10 times; of those 10 pregnancies she lost 2, had 2 still births and nurtured 6 children who she is grateful, are alive and healthy.

As she continued her reminiscing, she remembered the many times she had woken up to realize that she had fainted from domestic violence. She took a look at her young battered body, the scars on her body and the gaping wound in her heart.

Samson had threatened to separate her from the kids forever if she ever dared to leave him. This threat was etched in her heart and so with every child she bore, her fear grew and so did her anger.

The most troubling part of her situation that has kept her in this quagmire presently is the plan to marry off her first daughter Ruth who is only thirteen, to a rich man who had promised to give them a new house, buy them three cars and send their two boys to school. Samson had eagerly agreed without her consent, she was deeply troubled; she was only a year older when she was kidnapped. She couldn’t stand and let the same evil that befell her and caused her, her entire life befall her precious baby.

By this time her tears had become groans and her tears like a torrential rain fall luckily, Samson is not home. As Agnes fights in her heart frantically for a solution, her mind wanders to what she could have become if only one adult had fought for her fourteen years ago, she could have been an enlightened graduate and would have every form of security any woman could dream of, be it mental, economic or even marital.

These and many more she wanted desperately for her children. She would fight tooth and nail and sacrifice anything to ensure that all her children would get the things she could only dream of. She is still thinking of a way out of this dilemma.

This is currently the plight of hundreds of young women somewhere in Northern Nigeria today. They transit from girlhood into womanhood in a nightmare they have no choice but to call home. The many unheard voices filled with anguish and pain still abound. Their Sexual, Reproductive and Health Rights are still violated thoughtlessly. Some of these young women and girls lose their lives during child birth or from domestic violence. Others contract Vesico-Vaginal Fistula (VVF) and are left to suffer until they are either helped or they eventually die. Some others who are bold enough to escape may never see their babies again. Others just endure the precarious situation due to fear and pressure from family and friends. These are the ones who cannot even cry silently, because of the burden in their hearts. I can hear the cries of this young girls; “Save us, the ones we were entrusted with, have failed to protect us. Rather, they have let us out to the wolves to devour. But, I am only a child.”

We see how Child Bride practices foster and sponsor Gender Based Violence and other Sexual and Reproductive Health Rights (SRHR) violations. This is the reason why this menace must be strongly hunted down and stopped. We must lend our voices to victims of Child Bride and reinvigorate their broken spirits and bodies. They have the right to dream as much as the rest of us do. We must also do our best to ensure that Parents and members of the society recognize child bride for what it is so that together we can discourage it, stop it and have a better Nigeria. A Child Bride Free Nigeria is a great Nigeria.

 

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USER FEE CHARGE: A HINDRANCE TO HIV CONTROL IN NIGERIA

Ayomide Joshua

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Over the years, a lot have been done to exterminate or reduce the spread of HIV to the barest minimum. Many drugs have been invented to treat HIV. One drug that immediately comes to mind is the anti-retro viral (ARV). The ARV has been known to be very effective in HIV treatment as constant dosage reduces the viral load to zero. What this means is that any person living with HIV who is constantly taking the ARV will continue to enjoy sound health for as long as he keeps taking the drug. Another drug that has been found to be effective is one which injection a person takes once in a year. As the HIV positive person keeps taking this injection yearly, he keeps enjoying sound health. The injection reduces the viral load in his/her body system to zero level. However, this injection is very expensive and not very much available like the ARV.

STRATEGY FOR HIV CONTROL

Prior to the invention of the ARV, especially in the 80s and 90s, the world witnessed rapid spread of HIV infections and many people died of AIDS.  During these periods, some drugs were invented which were helpful in the treatment of HIV but they were expensive and only few people afford to pay for them. As a result, the condition of majority HIV positive persons who could not afford those drugs worsened from HIV infection to full blown AIDS, leading to their eventual death. Worried by this development, the United Nations came up with two strategies for HIV response and control.The strategies are;

  1. The ARV should be made available everywhere;
  2. The ARV should be free so that every person living with HIV should obtain the drug regularly.

No doubt, these strategies have gone a long way in helping to treat and contain the spread of HIV. A front liner in the campaign for the right and welfare of persons living with HIV/AIDS once testified: “I am a living testimony to the effectiveness of the ARV. I have been taking the ARV for over 13years and I have been enjoying sound health.”

Currently, statistics shows that 63.9 million persons are living with HIV/AIDS in the world while 3.1 million persons are living with HIV/AIDS in Nigeria and of the 3.1 million persons, 28% of them are children.

 

ACCESS TO HIV TREATMENT AND THE USER FEE CHARGE

The strategies for HIV control has been effective in Nigeria. For instance, the ARV are very much available in our health institutions and PLWHIV are accessing the drug. However, there are many people living with HIV who are finding it difficult to obtain ARV regularly due to the fact that they are being compelled to pay user fee before they can obtain it.

“User fee” means an amount that a person living with HIV is asked to pay before accessing HIV treatment. Towards the end of December 2018, a large number of persons living with HIV trooped out with various banners and posters to protest against the user fee charge. One of them who was interviewed by a journalist said that the user fee that is imposed by public health institutions was worsening his condition of health. He said each time he went to the public health institution where he normally obtain ARV, they would ask him to pay N1, 000 and sometimes N500 before giving him the ARV. He said further that anytime he didn’t have money to pay for the treatment, they will not give him the ARV. And once there is no ARV for him to take, his condition of health would start deteriorating. While they kept demonstrating against the user fee charge, the person living with HIV appealed to the government to remove the user fee charge so that they could have access to HIV treatment and enjoy sound health.

REMOVING HINDRANCE TO HIV CONTROL

The fact is, if we are going to make any head way in our national HIV response, we must remove anything that will act as a cog in the wheel of our progress

In Nigeria, we are very good at shooting ourselves in the foot or working agent our self. We always want to make things difficult for ourselves. HIV treatment have been made available for fee, yet our public health institutions have made user free mandatory for persons living with HIV to pay before obtaining the drugs.

Whatever may be the reason for introducing the user fee, the fact is that persons living with HIV are finding it difficult to access HIV treatment. Even the little amount of N500 and/or N1,000 they are been asked to pay before accessing treatment, are amounts which persons living with HIV/AIDS find it difficult to pay.

If persons living with HIV/AIDS cannot access treatment because of the user fee, how then will we be able to achieve our goal of controlling HIV infection come 2020? Obviously the user fee charge is a hindrance to our national HIVresponse. If we are really serious about controlling the spread of HIV infection, we should not hesitate to remove the user fee charge.

WAY FORWARD

Lawyers Alert is therefore appealing to the Federal Government, the 36 States Government, the Federal Capital Territory, Abuja, the NACA (National Agency for the Control of AIDS), the SACA (States Governments for the Control of AIDS),Ministries of Health and other relevant agencies and institutions to expedite action to remove the user fee charge so that persons living with HIV can access treatment and enjoy sound health. It is when this is done that we can hope to achieve our goal of controlling HIV infection come 2020.

 

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