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Lack of affordable healthcare led to my wife’s death during childbirth —Lagos welder

Late Rashida, her husband Tomori, and baby Enitan

• L-R: Late Rashidat; her husband Tomori; and baby Enitan. Photo: Tessy Igomu

A section of Ikola-Odunsi, a suburban community in Agbado-Oke Odo Local Council Development Area of Lagos, is predominantly occupied by artisans and low-income earners. Despite the intervention of Japanese Government which built the only Primary Health Care centre serving the burgeoning community, maternal mortality rate remains high. TESSY IGOMU reports

The death of Rashidat Yusuf, from birth-related complications, has thrown the area into pensive-mood. While Rashidat’s husband, Tomori Yusuf, a welder, blames poverty for his wife’s death, residents of Ikola-Odunsi are wondering who the next casualty might be.

Rashidat’s infant, Enitan Yusuf, is currently three months old, but he will grow up without the privilege of being suckled by his birth mother, as the 38-year-old woman died eight days after delivery due to childbirth-related complications.

Presently offering Enitan the love and comfort he needs is Mrs. Caroline Sanusi, a woman his mother met by providence weeks before her death.

Rahsidat’s death is heartbreaking and one that stirs anger in the minds of those that have always advocated for a well-equipped, affordable healthcare system for the most vulnerable, such as pregnant women and children in Nigeria.

Going by PUNCH HealthWise findings, Rashidat’s case is not isolated, as incidents of pregnant women dying needlessly are not alien to Ikola community. Two other pregnant women, our Correspondent learnt from residents, died this year due to their inability to access prompt medical care.

In 2015, Nigeria overtook India as the country with the highest maternal and child mortality rates in the world, despite having a population that is less than one-fifth of India.

A 2017 research notes that a woman’s chance of dying from pregnancy and childbirth in Nigeria is estimated at one in 13. “Although many of these deaths are preventable, the coverage and quality of healthcare services in Nigeria continue to fail too many women and children, especially the most vulnerable and marginalised,” the researchers stated.

Continuing, they said, “Presently, less than 20 per cent of health facilities offer emergency obstetric care and only 35 per cent of deliveries are attended by skilled birth attendants.”

The World Health Organisation says a Nigerian woman has one in 22 lifetime risk of dying during pregnancy, childbirth or postpartum/post-abortion; whereas in most developed countries, the lifetime risk is one in 4,900.

Again, the National Demographic and Health Survey 2018 shows that Nigeria’s maternal mortality ratio is 12 per 100,000 live births, and this has been described as high and unacceptable by experts.

In 2019, during the 62nd National Council on Health Meeting in Asaba, Delta State, the Minister for Health, Osagie Ehanire, decried Nigeria’s ranking as the country with the highest maternal and child mortality rates in the world.

He noted that, despite a global decline in maternal mortality in Millennium Development Goals era, Nigeria’s mortality rate remained among the highest in the world, with over 40,000 deaths yearly.

‘One of her baby’s leg was sticking out’ –Witness

Our Correspondent, during a fact-finding visit to Ikola, met Mrs. Sanusi gently rocking a fussy Enitan to sleep in front of their modest home. The 52-year-old, whose last child is already 16, said caring for the infant has taken a toll on her health.

“I have been having fever and backache because I have not been sleeping well. He is a baby and needs constant care. He is now my son,” she said.

Her husband, Paul Olayinka Sanusi, a cleric in charge of the Christ Apostolic Church – Love of Christ Parish, says he has accepted the sudden responsibility foisted on him by fate.

Recalling how her family’s path crossed with that of Rashidat, Mrs. Sanusi said the late woman had attended a religious programme in their church in February; and that the frail-looking, heavily pregnant woman waited behind for prayers after the service.

“After praying with her, my husband requested for her scan result but she started crying and told him she had not had any scan.

“When Rashidat later told me that she had been drinking garri for days, I served her food to eat and also provided her some foodstuff to take home

“My husband was very worried when she left. When she came back on March 17, he gave her N1,500 to go for a scan. But we were surprised when Rashidat returned with a scan result that gave her delivery date as March 17.

“Two weeks later, she came back and was in labour pain, without any baby things to take to hospital.

“We wanted to take her to Ikola Primary Health Centre, but she refused, saying they will not attend to her because she didn’t register there for antenatal.

“Not long after, my daughter, who is a nurse, returned from work and checked on her, only to discover that the baby’s leg was sticking out.”

Mrs. Sanusi said after frantically reaching out for help, they were directed to a hospital in Abesan Estate a few minutes’ drive from the community, where an emergency Cesarean section was performed on Rashidat.

She said Enitan weighed 4.8kg at birth and was brought out unresponsive. “He was placed on oxygen; but days after the surgery, his mother was still looking very weak.

“Rashidat’s husband could not provide the basic things she needed to boost her immunity. He said there was nowhere for him to get money.

“I did my best to provide for her as well as other patients in the hospital,” Mrs. Sanusi said.

Their best wasn’t enough, however; because, eight days after the surgery, the Sanusis were about leaving for the hospital to christen the baby when they learnt that Rashidat had passed on.

“We rushed to the hospital to confirm the news, after which I took charge of Enitan, as Rashidat’s family members refused to show up after reaching out to them several times on the phone.

“Her husband kept lamenting because he could not provide money for her burial or, for that matter, to settle the hospital bill of N220,000. He had to sign an undertaking to pay the money by the installment.

“Rashidat was later buried at the Muslim burial ground at Ogundare Street, Ipaja, after the son she had in another marriage brought N25,000 to pay for the burial space.”

“I am yet to pay the balance of N7,500 for the baby things she took to the hospital,” Mrs. Sanusi said.

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