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Why no woman should die from Cervical Cancer

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Why no woman should die from Cervical Cancer

Why no woman should die from Cervical Cancer

By Vivian Ihechu

Cervical cancer is the second most common cancer affecting women in Nigeria and the fourth most common cancer among women globally, according to World Health Organisation (WHO).

Current estimates for Nigeria in 2023 by the Human Papillomavirus (HPV) Centre indicate that every year 12,075 women are diagnosed with cervical cancer and 7,968 die from the disease in the country.

About 3.5 per cent of women in the general population are estimated to harbour cervical HPV-16/18 infection at a given time, and 66.9 per cent of invasive cervical cancers are attributed to HPVs 16 or 18.

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However, with proven interventions to prevent and manage the disease, experts say that no woman is expected to lose her life to cervical cancer.

Prof. Isaac Adewole, a former Minister of Health, Nigeria and Co-Founder, African Cancer Coalition, told the News Agency of Nigeria (NAN) in Lagos that cervical cancer had become a public health issue.

Nevertheless, Adewole, a professor at the University of Ibadan and Northwestern University, said the disease which was caused almost entirely by a virus, could be tackled.

He said cervical cancer was preventable and treatable, if presented and diagnosed early.

He said part of the strategies to eliminate cervical cancer included, vaccination of about 90 per cent of girls between ages nine and 14 with HPV vaccine to prevent them from having the cancer.

According to him, it takes about an average of 20 to 30 years for cervical cancer to develop, and the HPV vaccination offers a window of opportunity to kick against the cancer.

He said screening of no fewer than 70 per cent of women using a high-performance test by the age of 35, and again by the age of 45, was also a strategy to save women from cervical cancer.

“When we screen women who are asymptomatic, we have no complaints at all.

“When we screen them, we’ll be able to determine and diagnose stages that occur before development of cancer. We call these stages pre-malignant stages.

“We are able to detect them and when we offer appropriate treatment they will be cured,” said Adewole.

Another way of addressing the cervical cancer menace, according to Adewole, is prompt and appropriate treatment when detected early.

“Even those who develop cervical cancer, when we pick them in the early stages, we can almost uniformly cure them.

“Treatment of women with early presentation as well as invasive cancer management helps.

“When you look at the three factors of prevention, screening, which is secondary prevention; and treatments of early stages, we have a disease on our hands that applying public health principles, we can control,” explained the professor.

Adewole advocated allocation of resources for cancer prevention, detection, treatment and management.

“Cervical cancer disease is common in areas that are not developed or areas where they have not allocated appropriate resources and attention to this disease.

“It is a disease of under development.

“And where you have infrastructure well developed, where you have appropriate policies that are well-resourced, where you have leadership showing interest in this disease, we collectively can eliminate cervical cancer.

“And this has been amply demonstrated through projections scientifically showing that if you do this, then cervical cancer can become something of history,” said Adewole.

According to him, the challenge in Nigeria, just like in Africa and many developing countries, is that a lot of people are largely unaware of the situation with cervical cancer.

Therefore, he said when cases were presented to the hospitals, they were largely in advanced stage, for quite a number of reasons.

The former health minister also noted that the non-availability and affordability of vaccine hindered efforts in the drive to eliminate cervical cancer in Nigeria.

“It is very expensive if you go to the shelf to buy it and then, globally, the developed countries have ‘cornered’ the vaccine for their people because they recognise the value of the vaccine.

“So, we are left at the mercy of Gavi, the Vaccine Alliance (GAVI) and multilateral donors to fund us.

“The prices are coming down gradually but it is still out of reach for most groups.

“But, there is a window or door of opportunity for many as countries that were previously giving two or three shots can now give one and that will free some of the supplies,” continued Adewole.

He said by adopting, introducing and implementing the Global Elimination Agenda for Cervical Cancer Control https://www.cervicalcancerdeclaration.org/, eliminating cervical cancer as a public health issue would be realised.

“Hence, we call for urgent action to make cervical cancer elimination a global priority, with high-level commitment and resources to make it a reality.

“No woman should lose her life to cervical cancer when we have the tools to prevent, and, especially when diagnosed early, to treat it,” he said.

HPV is mainly transmitted through sexual contact and most people are infected with HPV shortly after the onset of sexual activity.

Twelve leading health experts from around the world have initiated a call to action in the fight against cervical cancer through The Global Declaration to Eliminate Cervical Cancer.

The Declaration was formally launched at the World Health Assembly in Geneva on May 22, with signatures from more than 1,200 global health leaders and advocates representing no fewer than 100 countries.

Top among them included former Prime Minister of New Zealand, Jacinda Ardern, CEO of Amref Health Africa, Githinji Gitahi; President of the International Federation of Obstetrics and Gynecology (FIGO), Jeanne Conry, and President-elect of the International Pediatric Association, Naveen Thacker.

Adewole and Prof. Margaret Stanley of Cambridge University, UK and Past President of the International Papillomavirus Society (IPVS), are among the experts championing the declaration.

Stanley told NAN that it was worrisome that 90 per cent of women with cervical cancer lived in low and middle income countries.

According to her, in high income countries like U.S., UK, Europe, there are highly organised medical services which women can access easily.

She added that same services should be replicated in low income countries like Nigeria.

Stanley also agreed that no woman should die from cervical cancer as eliminating the disease was achievable with urgent action in three areas – vaccination, screening and treatment.

“Vaccinating girls aged nine to 14 against HPV is the primary way to prevent cervical cancer.

“HPV vaccines are safe, effective, and can prevent up to 90 per cent of cervical cancer cases.

“Cervical cancer can also be prevented through screening and treatment of pre-cancerous lesions,” said Stanley.

She also recommended the ‘new’ one-dose HPV vaccination regime as part of routine programmes for girls.

The British virologist and epithelial biologist also called for provision of X rays for screening for cervical cancer, while advocating increased access to adequate health facilities and trained health personnel.

According to experts, tools are available to eliminate cervical cancer and everything must be engaged collectively to eliminate the disease and save women from losing their lives to cervical cancer.

Why no woman should die from Cervical Cancer

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New Minimum Wage: Negotiations Stir Anxiety and Hope

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New Minimum Wage: Negotiations Stir Anxiety and Hope

New Minimum Wage: Negotiations Stir Anxiety and Hope

By Halima Abdulkadiri

In Nigeria, the struggle for a new minimum wage has become a focal point of anxiety and hope for millions of citizens. With approximately 40 percent of the population living below the poverty line, according to the National Bureau of Statistics (NBS), and the recent removal of the fuel subsidy causing prices to skyrocket, the demand for a wage increase has become more urgent than ever.

The World Bank defines extreme poverty as living on less than $1.90 per day, a reality for about 83 million Nigerians out of an estimated 200 million. The removal of the fuel subsidy has exacerbated this situation, leading to a sharp rise in the cost of living. Official data indicates that inflation has surged to 33.69 percent, placing immense pressure on households.

Mrs. Shade Oguntoye, a civil servant in the Federal Capital Territory (FCT), exemplifies the daily struggles faced by many Nigerians. During a recent trip to the Area 2 shopping complex to buy plantains, she was shocked to find that a bunch cost N10,000. Unable to negotiate a lower price, she left empty-handed. Similar stories of soaring prices can be heard across the country. In Lugbe market, for instance, a tuber of yam now sells for between N3,000 and N3,500, while five tubers cost between N17,000 and N34,000. The price of meat has also increased dramatically, with one kilo now selling for N5,500, compared to N1,500 last year.

Mr. Ahmed Sanni, another civil servant, has seen his rent for a two-bedroom flat in Federal Housing Lugbe, Abuja, increase from N800,000 to N1.8 million. Since President Bola Tinubu removed the fuel subsidy on May 29, 2023, the unchanged minimum wage of N30,000 has left civil servants grappling with rapidly rising costs.

The latest NBS report highlighted a year-on-year food inflation rate increase to 40.66 percent in May 2024, up from 24.82 percent in May 2023. This rise is attributed to higher prices for staples such as Semovita, Oatflake, Yam flour, Garri, and Beans, among others. The monthly food inflation rate also increased by 2.28 percent in May, although this was a slight decrease from April’s rate.

Protests have erupted across Nigeria, with citizens demanding an end to hunger and hardship, and a reversal of the fuel subsidy removal. On social media, plans are being made for a large-scale protest on August 1, calling for reductions in the national assembly budget and the overall cost of governance.

Experts argue that raising the minimum wage could alleviate hunger by increasing workers’ purchasing power, allowing them to afford basic necessities. The Nigeria Labour Congress (NLC) and the Trade Union Congress (TUC) have proposed a new minimum wage ranging from N447,000 to N850,000, depending on the region, citing the severe impact of inflation.

Despite these demands, the federal government has rejected a proposal for a N62,000 minimum wage, which NLC President Joe Ajaero and TUC President Festus Osifo have criticized as insufficient. They insist that the minimum wage should be at least N250,000 to meet current economic realities. The tripartite committee, led by Alhaji Goni Aji, has urged labor to consider economic factors and non-monetary incentives provided by the government, such as a N35,000 wage award for federal workers and financial support for various sectors.

Public affairs analyst Mr. Samson Dauda attributes the widespread hunger and anger to food insecurity, exacerbated by the nation’s agricultural challenges. As President Tinubu leads negotiations with labor unions, Nigerians are hopeful for a resolution that will bring much-needed relief and stability to their lives.

New Minimum Wage: Negotiations Stir Anxiety and Hope

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CBN’s Aggressive Monetary Policy Tightening and Its Impact on Nigeria’s Economic Growth

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CBN's Aggressive Monetary Policy Tightening and Its Impact on Nigeria's Economic Growth

CBN’s Aggressive Monetary Policy Tightening and Its Impact on Nigeria’s Economic Growth

By Halima Abdulkadiri

Recently, Aliko Dangote, Chairman and CEO of Dangote Group, voiced concerns about the repercussions of rising interest rates on local manufacturers during the National Manufacturing Policy Summit organized by the Manufacturers Association of Nigeria (MAN) in Abuja. He emphasized that an interest rate of 30% would stymie job creation and economic prosperity, highlighting the critical link between affordable financing and economic growth.

Dangote’s remarks underscored broader apprehensions among stakeholders regarding the Central Bank of Nigeria’s (CBN) aggressive monetary policy tightening. At its 295th meeting in May, the CBN’s Monetary Policy Committee (MPC) increased the Monetary Policy Rate (MPR) for the third consecutive time to 26.25%, citing inflation control as its primary objective. Despite these efforts, Nigeria’s inflation rate surged to 33.95%, surpassing the CBN’s target and signaling persistent economic challenges.

Governor Yemi Cardoso of the CBN defended the rate hikes, attributing recent declines in month-on-month inflation to the bank’s stringent monetary stance. However, he acknowledged ongoing inflationary pressures, particularly in food prices, driven by transportation costs and security issues in agricultural regions.

Critics, including financial expert Prof. Uche Uwaleke and economist Dr. Chijioke Ekechukwu, argue that the aggressive tightening measures may be excessive, potentially stifling economic sectors like agriculture and manufacturing. They suggest a pause in further rate hikes to assess the impact on inflation transmission and overall economic stability.

Moreover, stakeholders such as Muda Yusuf of the Centre for the Promotion of Private Enterprise (CPPE) and economist Prof. Ken Ife express concerns about the mismatch between the MPR and inflation rates, which discourages private sector investment and affects economic growth prospects.

Former CIBN President Okechukwu Unegbu acknowledged the necessity of curbing inflation but cautioned against prolonged high interest rates, advocating for a balanced approach to address economic challenges effectively.

Looking ahead to the upcoming MPC meeting, scheduled for July 23, stakeholders hope for a recalibration of monetary policy to support economic recovery and stabilize the exchange rate. They emphasize the importance of policies that foster a conducive environment for business growth and job creation, particularly in critical sectors like manufacturing.

As Nigeria navigates its economic path, balancing inflation control with sustainable growth remains paramount. The decisions made by the MPC in the coming months will significantly influence Nigeria’s economic trajectory, shaping the environment for investment, job creation, and overall prosperity.

In conclusion, while inflation control is crucial, stakeholders urge the CBN to consider broader economic impacts and adopt nuanced policies that support both price stability and economic expansion. This approach is vital for navigating Nigeria’s complex economic landscape and ensuring inclusive growth across all sectors.

CBN’s Aggressive Monetary Policy Tightening and Its Impact on Nigeria’s Economic Growth

NAN

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Nurturing Boy-Child to Save the Girl-Child

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Nurturing Boy-Child to Save the Girl-Child

Nurturing Boy-Child to Save the Girl-Child

By Vivian Ihechu

In most cultures, especially in Africa, preference to the boy-child has strong cultural, religious, legal and of course, social status.

This is principally because a male heir is needed to continue the family line.

The boy-child, faced with many challenges, especially in the 21st century, is often times not properly guided; hence the society tends to be losing him.

The African Charter on the Rights of the Child defines a child as anyone below the age of 18; hence a boy-child is a male offspring below the age of 18 years.

Unlike the boy-child, the girl-child has received massive campaign for her rights and protection, with increasing mainstream attention in public health care from the early 2000s.

While several initiatives to protect the female gender have continued to emerge, those for the male are sparse.

The female-centered initiatives include, inter alia, the International Day of the Girl Child, and UN’s coordinated International Conference on Population and Development (ICPD), Cairo in 1994, and the 1995 Beijing Conference that highlighted concerns on women and girls’ empowerment and autonomy.

The initiatives also include laws and regulations against women trafficking and application of criminal laws to under-age sex, child-brides, and sex work

However, it is worthwhile to note that all children are future leaders of tomorrow and custodians of the future.

As such, the first aim of every family and society should be to raise healthy and productive individuals who are physically, psychologically, society and mentally well developed.

Analysts say that neglecting issues affecting the boy-child sets foundation for unbalanced male adult especially as he is the “father’’ of tomorrow, taking charge of families and females who leave their birth families after marriage.

Recognising the importance, the United Nations in 2018, adopted May 16 every year as the International Day of the Boy Child.

It was championed by Dr Jerome Teelucksingh, a university lecturer from the Republic of Trinidad and Tobago.

The day focuses on boys and their well-being, their needs to feel happy, healthy, and valued within family and community.

Dr Naeem Dalal, Advisor, Non-communicable Diseases, Injuries and Mental Health for Africa CDC, affirmed that boys were not taught to reach out for help; and this had detrimental effects.

“Men are supposed to be responsible and breadwinners in communities; showing that part of vulnerability is not something that is accepted in our communities across the African continent in general.

“And not just to stereotype it, but also to be factual that men are also taught not to be reaching out for help growing up as boys and boys are told to be strong and responsible.

“So, this also causes an issue for men to reach out for mental health services, even when they are there; they may end up committing suicide.

“These are the challenges we are facing; the boy-child is also human,’’ he said.

He advocated looking at mental health advocacy for communities, also in the direction of men’s health.

Commenting on the boy-child, Ms Ifeoma Ibe, a Counsellor, said that boys , in the African setting, were brought up to be macho and it was reiterated in the family, school and church.

“Some of the prototypes instilled in their minds are that the boy-child is stronger, usually more intelligent and more powerful than girl-child, and therefore, does not need protection as girl-child.

“He is not expected to express his emotions or any weaknesses; he is to bear things, good or bad, `like a man’.

“He is taught not to cry but always behave in a brave manner since boy-child is not to display their weakness; they tend to suffer in silence.

“Society teaches males that they must be in control all the times,’’ she said.

Mrs Vivian Emejuobi, a Wellness Specialist, advised parents to invest time in training their male children to become responsible adults.

“If the boy-child is properly groomed and nurtured, there will not be a girl-child abuse.

“This proper education will encompass how to treat the opposite gender and it will help to reduce rape and abuse cases in the society.

“So, the same energy that parents use to bring up the girl-child should be replicated in the upbringing of the boy-child.

“Massive advocacy and sensitisation is required to educate the boy-child to become better persons in the future,’’ she said.

A Nigerian author and novelist, Gbenga Sokefun, said that on human trafficking , efforts had been mostly on the girl-child.

According to him, the focus of these efforts has been primarily on female children, trafficked for purposes of prostitution and other forms of indentured servitude.

However, he called on leaders to also concentrate on human trafficking of the boy- child.

Sokefun, the author of a fiction, “Adigun”, said that trafficking of the African boy- child had received far less attention, despite the simple fact that it existed.

“The pressures of poverty and the inherent psychological damage of colonialism have resulted in a brisk trade of young African boys and men under the auspices of narcotics smuggling.

“The perpetrators have created a pathway for the African male child whose solution to the inadequacies of the continent is escape to the ‘greener’ pastures of the Americas, Europe or anywhere away from the continent of Africa.

“They prey on the dreams and desires of these gullible children who seek a better life on other continents.

“These should be tackled,’’ he said

Lending their voices, some clerics said that bringing up the boy-child properly is a social responsibility that parents cannot delegate to others.

Pastor Chris Nmezi of the Spoken Word Ministry, Ojo Barracks, Lagos, advised parents to conduct themselves in exemplary manners , such that the children would follow same.

He described parents that quarrel and batter each other in the presence of the children as mentally deforming the children.

Nmezi cautioned parents to discard uncomplimentary habits towards others especially their spouses to prevent children from coping habits that would portray them as never do wells.

“As gatekeepers whatever we condole or instill in the heads of the children by our actions or inactions that they will acquire.

“Any boy that grows up seeing her mother being beaten by his father will see it as a tradition to beat his wife later in life,” he said.

Sharing similar sentiments, Pastor Gladys Ododo urged parents not to do that which they would not be happy seeing their child indulge in.

Ododo said that parents especially men, indulge in drinking alcohol even around the home but would not like to see their children of school do same.

“It is hypocritical; if you don’t want them in it, then stop it; children copy with ease what they see parents do than what parents told them.

“Rising up voice at your spouse at every infraction or detestable conduct is sending wrong signal in the children and people around.

“If there is need to correct anyone do so courteously without attracting unnecessary attention,” she said.

As a way to help the boy-child, Mr Gaius Edem, a teacher, urged parents to encourage their boy-child to engage in exercise, extra curriculum activities such as belonging to a positive club.

“Parents, guardians and educators can encourage the boy-child to join positive clubs in schools or their religious gatherings.

“It will also help young and growing child to channel their time and energy to meaningful and healthy activities,’’ he said.

In her input, Mrs Rosita Agomuo, an Educationist and Executive Coordinator of Safe mamahood, agreed that boys had been relegated to the background, as all attentions were on the girl-child.

Agomuo said that the interest of boys should be protected because they are also victims of abuse.

“These abuses also affect boys psychologically but we do not always hear about it in the media; the focus has always been on the girl-child.

“I believe CSOs and NGOs need to do more for the boy-child too by focusing on their peculiar needs and challenges to achieve gender equality,” she said.

All in all, experts of the view that good training of a boy-child will help to achieve a safer world for the girls/women and humanity at large.

They say if well nurtured and groomed, the boy-child will conscientiously carry, just like the girl-child, the responsibility of fostering understanding, empathy and equality; thereby making a harmonious world for all.

Nurturing Boy-Child to Save the Girl-Child

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