How Nigeria’s High Fertility Rate Promotes Insecurity – Experts
Nigeria’s high fertility rate is associated with increased insecurity, banditry, underemployment, and maternal and infant mortality in the country, experts have said.
Nigeria’s fertility rate, which is said to be 5.3 births per woman, is one of the highest in the world.
The fertility rate is the number of children born alive to women during the year as a proportion of the average annual population of women of the same age.
The Chairman of the Association for the Advancement of Family Planning, Dr Ejike Orji, said the growing youth population encouraged insecurity in the country.
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“We have this youthful bulge where 72 per cent of the population is under the age of 30. They don’t have jobs, so they can easily be recruited as bandits, kidnappers, religious bigots, ethnic bigots and unscrupulous politicians.
“That is why we have this very terrible insecurity that we have in the country right now, and we have 18.5 million out-of-school children. After that, you see a high level of emigration because young people are finding Nigeria very uncomfortable, and both skilled and unskilled are leaving the country.
“Then, you have armed robbers, kidnappers, and bandits killing people all over the country,” Orji said.
Also, the President of the Association for Reproductive and Family Health, Prof Oladapo Ladipo, said the negative effects of overpopulation were expressed in different ways, including insecurity.
He said, “When you have the nexus of overpopulation, underemployment, inequity, what you have is a growth of radicalism and banditry, and that is what we have now.
“What you need is qualitative reproduction, not quantitative reproduction. Have the number of children you can cater to and bring up in a healthy environment, and provide resources for their education.
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“But what we have now is reckless reproduction, and that is why we have so many almajiris. We have many people with certificates but no jobs.
“The government itself is overwhelmed by the population. The number of bed spaces is not enough for the population. The number of institutions is not enough for the youths that are growing up,” he added.
The experts, however, said with free maternal health services and an increase in family planning, funding would reduce the high fertility rate and maternal mortality.
Nigeria’s maternal mortality rate is still among the highest in the world, with an estimated 512 deaths per 100,000 live births, making the country far from achieving the Sustainable Development Goal target of reducing the global maternal mortality ratio to less than 70 per 100,000 live births.
JUST IN: Health Workers Begin Indefinite Strike
The Joint Health Sector Unions and the Assembly of Health Care Professional Association have directed their members to embark on an indefinite strike.
The National Vice President of JOHESU, Dr Obinna Ogbonna said this at a press briefing held in Abuja on Thursday.
JOHESU is the umbrella body of health workers’ unions and associations, including the Medical and Health Workers Union of Nigeria, Nigeria Union of Allied Health Professionals, Non-Academic Staff Union of Educational and Associated Institutions, and Senior Staff Association of Universities’ Teaching Hospitals Research Institutes and Associated Institutions.
The leadership of JOHESU had in a letter dated May 9, 2023, issued a 15-day ultimatum to the Federal Government over alleged inconsistencies of the government in the ongoing negotiations to adjust the Consolidated Health Salary Structure for health workers on their platforms.
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The 15-day ultimatum commenced on May 10, 2023, and will expire at midnight on Wednesday, May 24, 2023.
Obinna said, “It becomes imperative to inform you that since the Federal Government is yet to meet these demands, our members have been directed by the JOHESU National Executive Council to proceed on an indefinite strike action upon expiration of the ultimatum by midnight of May 25, 2023.”
BREAKING: Trouble Looms As FG Declares Doctors’ Strike Illegal, To Implement No-work-no-pay
The Federal Government has warned members of the National Association of Resident Doctors to shelve their planned five-day warning strike, describing it as illegal.
The Minister of Labour and Employment, Chris Ngige, issued the warning today shortly after receiving a letter from the NARD executive notifying him of the impending industrial action, billed to commence midnight today, May 16, 2023
Reacting to the letter, dated May 16, 2023 and delivered to his office at about 5pm same day, Ngige said on receiving the letter, he contacted the Minister of Health, who informed him that a meeting has been scheduled by his office with the resident doctors on Wednesday, May 17.
He therefore advised the doctors to avail themselves of the opportunity for social dialogue with their employer, rather than embark on a warning strike, which is unknown to the law.
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He said, “I will advise them to attend the meeting with the Minister of Health tomorrow. I will also advise them very strongly not to go on five-day warning strike. There is nothing like warning strike. A strike is a strike.
“If they want to take that risk, the options are there. It is their decision. They have the right to strike. You cannot deny them that right. But their employer has another right under Section 43 of the Trade Dispute Act, to withhold their pay for those five days.
“So, if the NARD has strike funds to pay their members for those five days, no problem. The Health Minister will instruct the teaching hospitals to employ adhoc people for those five days and they will use the money of the people who went on strike to pay the adhoc doctors. That is the ILO principles at decent work, especially for those rendering essential services. Lives should be protected. One of my sons is a resident doctor. I will advise him to go to work and sign the attendance register. The people seen at work are the ones to receive their pay. If you don’t work, there will be no pay.”
Commenting on the five demands of the doctors, Ngige said the Federal Government lacks the powers to compel the states to domesticate the Medical Residency Training Fund, since health is in the residual list, where both the federal and state governments have the powers to legislate.
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According to him, the job of the Federal Government is to make policy and where the states disagree, they are at liberty to make their own policy.
He added that the federal government cannot bully the states into domesticating the MRTF if they do not want to.
Regarding the issue of immediate payment of the MRTF to their members, he said it was appropriated in the 2023 budget, but has not been released, as the 2022 budget was still running, adding that those in 2022 have all been paid.
He denied the claim by NARD that the Federal Government did not pay minimum wage consequential adjustment arrears to their members, saying that all workers in the Education and Health Sectors, and even the defence agencies benefited from the adjustment.
He noted that the doctors cannot declare nationwide strike because some states were owing their members, pointing out that the federal government cannot also dabble into the issue, being a state matter.
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Similarly, he said the Federal Government as the Executive arm of government cannot intervene in the bill at the National Assembly to bond doctors for five years, as it is a private member’s bill.
According to him, any intervention by the executive on the matter impinges on the autonomy and independence of the legislative arm of government.
Ngige said although the bill has passed through first and second reading, he was sure it would be shot down at the public hearing, since the law prohibits forced labour.
He advised the doctors not to talk about 200 percent pay rise, as it was not feasible, adding that “besides all the government has done for doctors and other workers in the health sector, such as upward review of hazard allowances, the Nigeria Medical Association was already negotiating with the Federal Ministry of Health, National Salaries, Incomes and Wages Commission and the Presidential Committee on Salaries on pay rise for doctors.
“It is incongruous for student doctors to embark on strike when consultants training them were already negotiating with the Federal Government.”
UBTH @50: Management, Staff, Patients Embark On 5km Walk To Promote Preventive Health Care
Management of the University of Benin Teaching Hospital (UBTH), on Monday, organised a 5 kilometer Walk as a way of promoting preventive health care among Nigerians.
Speaking during the Fitness Walk, Prof. Darlington Obaseki, Chief Medical Director, UBTH, said that walking, as a form of exercise, had proven to help prevent a lot of diseases ranging from hypertension, diabetes and some cancers.
Obaseki, while speaking to journalists shortly after the walk tagged “Walk for Life,” said the event was part of activities to celebrate the hospital’s 50th anniversary.
He said, “Engaging in different forms of exercise helps to keep the body fit and healthy.
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“The walk for life is a way to sensitize the public on the benefit of walking and how walking helps in preventing numerous diseases.
“The first step in health care is disease prevention, hence we are creating awareness about the need to exercise always”.
He said that most patients visited the hospital for curative purposes, noting that healthy living which involved regular exercise was key to disease prevention.
“One of the dangers of modern day style of living is the sedentary life style. So many persons sit in their offices from morning to night without exercising their bodies.
“Once you are fit and have the right weight, a lot of diseases can be prevented”, he said.
Speaking to traders at Uselu market, Dr Taiwo Oyewumi, Head of Physiotherapy department, UBTH, regretted that only a few per cent of Nigerians engage in regular exercises.
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Oyewumi said, “Exercise is the cheapest way to stay healthy, and it is recommended that an individual does about 7,000 steps a day for healthy living.
“People who do exercise don’t fall ill often. Doing exercises makes you sleep well, improves brain function, and reduces bad cholesterol and hypertension.
“Exercise at less 10 to 15 minutes a day because exercise is good for your health”
The 5km walk started from UBTH premises at Ugbowo through Uselu market and back to UBTH premises.
Participants included UBTH board members, staff, students, patients and their families, fitness enthusiasts, journalists and other members of the public.
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