Billions Budgeted, Yet Bwari Communities Face Infant Deaths, Miscarriages Amid Lack of Basic Amenities

In Shere Ward, many women across Pmalogo and Dnakulu communities have faced repeated infant deaths and miscarriages due to the harsh realities they face. These communities suffer from lack of clean water, healthcare facilities, and reliable roads. The poor road infrastructure especially endangers residents during emergencies, forcing laboring pregnant women to trek long distances to reach healthcare services in neighboring areas.

Despite the budgetary allocation of over 50 billion naira over the past five years, these two communities remain overlooked. Council Chairman John Gabaya, who initially pledged inclusive growth and development, seems to have neglected these areas, where basic infrastructure and healthcare remain severely lacking. Safer-Media Initiative (SMI) has been documenting the human cost of this neglect.

In 2020, Chairman Gabaya presented a budget proposal of over six billion naira (N6,056,024,123) to the council’s legislative arm, followed by a 2021 appropriation bill totaling N6.6 billion, which included N3.4 billion for capital expenditures and over one billion naira (N1,128,901,718) earmarked for health and human services. The following year, in 2022, he proposed an eight-billion-naira budget, designating N4.6 billion for capital expenditure, one billion for health and human services, and 590 million for education and social development.

 

In 2023, Gabaya presented an ambitious “Inclusive Growth and Development” budget of over ten billion naira (N10,684,556,784), yet Pmalogo and Dnakulu saw no signs of such growth. His most recent budget, submitted for 2024, totaled 22 billion naira, with N14.9 billion set aside for capital projects and N2.1 billion dedicated to health and human services.

 

Elected initially in 2019 and re-elected in 2022, Gabaya had promised essential amenities for all, regardless of ethnicity, religion, or party affiliation. During his second term, he further committed to repairing township roads, enhancing education, and providing quality healthcare for rural residents. Yet, these promises remain unfulfilled in Dnakulu and Pmalogo, where residents continue to bear the consequences of inadequate infrastructure and healthcare.

 

Our journey to the communities

The journey to Pmalogo and Dnakulu reveals a challenging terrain. For nearly two hours, this reporter rode on a commercial motorcycle from Mpape to the Pmalogo and Dnaku communities. Mpape is relatively the most developed settlement nearest to these communities, and it’s located within a twenty-kilometer radius of Aso Rock, the official residence of Nigeria’s president.

The road leading to the two communities

 

The reporter navigated through a narrow, rough, desolate, and eerie road with pockets of rivers and muddy and slippery paths to walk through. The shrubs, thick vegetation, and towering hills on both sides of the road were enough to inspire fear and give a first-time visitor an impression of danger. 

After an exhausting journey, the first community sighted was Dnakulu, which was a short distance away from Pmalogo.

The locals, who are mostly farmers, left their farms and came to share their concerns with the SMI reporter. Gathered in an open space, they sat in groups of men and the male youths on one side, while the women and the girls were on the other side. 

 

They took turns to speak.

40-year-old Elizabeth Daniel, a mother of three, was the first to speak. Tragically, Elizabeth's experiences echo the stories of other women in the community, with preventable deaths occurring due to the lack of timely medical attention.

Elizabeth Daniel, a resident of Pmalogo

 

She tearfully recounted losing four pregnancies in a space of nine years due to the arduous journey to Shere, where the nearest health center is located. 

“I gave birth to seven children, but only three are alive,” she narrated.

Elizabeth had lost the first pregnancy in 2014. 

She told SMI: “I trekked from here to Shere. When I got to the hospital, the doctor said that the baby was weak and that I was tired too. He told me that the baby would not come out alive, and he was right. I didn’t return with the baby.”

The commute time between Pmalogo and Shere – where a Primary Health Care Center is sited – is a 35-minute ride on a motorcycle, and about two hours on foot.

There is also a healthcare center at Galuwyi, a neighboring community of about one and a half hours walkable distance and twenty-five minutes ride on a motorcycle.

SMI learned that the Galuwyi Healthcare Facility has been operating in a two-room dilapidated building for years  until it was renovated recently . Some residents told our reporter that services in the center have improved more than they have for years.

The Primary Healthcare Facility at Galuwyi

 

However, because of the bad road, going to Galuwyi for medical attention can be difficult. As a result, most people from Pmalogo are unable to access medical services at Guluwyi, including pregnant women who need antenatal care.

Elizabeth continued to recount her experiences with the other pregnancies. She told SMI how she was lucky with her second pregnancy in 2016; the child was delivered safely, but it was not the case with the third and fourth pregnancies. The third child, born prematurely, died immediately after birth, while the fourth became sick and passed away a few months later.

She believed that her child's demise resulted from a failure to provide prompt medical attention.

She said: “My husband was on the farm when it started. I had to send some people to go and fetch him. We trekked to Galuwyi, where we were told to take him to the health center in Shere. By the time we got to Shere, he was pronounced dead."

More woes 

Mary David, another woman in the community, had similar experiences as Elizabeth. 

Mary narrated: "I have birthed eight children, but only two are alive today. Of all my pregnancies, only one stayed for nine months. I was told not to do heavy work, but even the trekking to the hospital was tedious work.

“When we get to an area where the bike cannot pass, we come down and trek. Sometimes, we push the bike until we get to a place where the bike can run smoothly, then we continue the journey.” 

For years, the community had no means of transportation connecting it to other communities. This was the case until recently, when two members of the community bought motorcycles. 

But the residents said riding a motorcycle through the rough terrain isn't an easy task, especially when carrying a passenger, and it's even worse when it's a pregnant woman in labor.

David Samuel is the community's secretary. He told SMI how his brother's wife passed away during childbirth the previous year. 

David Samuel, Secretary of Pmalogo Community

 

He narrated: “We took her on a bike through the rough road to the health center at Galuwyi around 6 p.m. By morning the next day, she was still battling to give birth. I had to quickly get a vehicle to rush her to Bwari General Hospital. Before we got there, she became very weak. We lost her eventually."

David is not happy. He noted that many deaths may have been prevented if people had received healthcare sooner. Speaking further, he described a scenario in which, in the absence of a motorcycle, a woman would have to carry her child on her back and walk several hours to the health center.

Dnakulu faces similar challenges

While the Pmalogo community now enjoys potable drinking water, that cannot be said of the Dnakulu community. Just like Pmalogo, a philanthropist (only known as a Yoruba man) drilled a borehole for them. But since last year, the water source has packed up, leaving the residents with no choice but to return to the stream for water.

Resident of Dnakulu fetching water from the stream

 

Samuel Adamu, a native of the community, said requests for assistance to repair the borehole have been met with silence, adding that even after the initial inspection of the community by the council two months ago, there had not been any follow-up action by the government.

A student of Political Science at the Federal University, Gashua, Yobe State, Adamu (as he preferred to be mentioned), who is also a resident of the community, accused the government of only approaching them whenever there were elections but that the government's promises during elections seem to vanish afterward, leaving the community in dire straits.

 

Health Expert Speaks

A consultant public health specialist, Prof. Chima Onoka, who is a professor in the health systems, policy and management unit of the Department of Community Medicine, College of Medicine, University of Nigeria, highlighted that the underlying health issues leading to miscarriages might have been detected with proper healthcare. However, the communities' remote locations make it difficult for residents to access timely medical attention.


Onoka suggested that health posts can be set up for communities such as Pmalogo and Dnakulu where there are no primary health care facilities within 30 minutes' walking distance from the area.

Nigeria records 576 maternal deaths per 100,000 live births, while approximately 262,000 babies die at birth every year, according to the United Nations Children’s Fund (UNICEF).

The report titled “Situation of Women and Children in Nigeria" also stated that infant mortality stands at 69 per 1,000 live births, while under-five deaths are 128 per 1,000 live births, with more than 64 percent of the deaths caused by pneumonia, malaria, and diarrhea.

Nigeria’s former minister of health, Osagie Ehanire, affirmed that the lack of access to healthcare is the main contributory factor to high maternal, infant, and under-five mortality in the country.

However, governments seem not to have done much to help the situation. According to the Nigerian Constitution of 1999, the provision of healthcare at the primary healthcare level is largely the responsibility of local governments with the support of state ministries of health and under the overall national health policy.

The local governments are to budget, implement, manage, monitor, and evaluate primary health care within the local area. 

 

‘We have been neglected and forgotten’

The secretary to the Pmalogo community, David, said since the inception of the council, the communities have not experienced any dividends of democracy, even after many pleas to the council.

Resident of Pmalogo Community, about to take her bath in the stream.

 

The 47-year-old farmer narrated to SMI how the area council had sent a delegate to communities three years ago, requesting them to write down their challenges, but after the community had listed out its needs as clinics, roads, and primary schools, none of their concerns had been addressed by the council.

The community's challenge, according to him, is even more complex because it is not on the map of the council.

"We were sharing a name, "Dnaboyi," with another community that migrated to another area from here. This happened many years ago, even before I was born. The community insisted that the name 'Dnaboyi' was theirs and that we should bear another name. That was how we started bearing Pmalogor. I have been regularly visiting the council to ensure that this name is included in the council's map, but I've not yet succeeded," he said.

 

Water Challenge 

“You see the water here,” he said, pointing at an overhead water tank in the community. “It was the Catholic Church that gave it to us. Before then, we had pleaded with the council for years but got no answer."

Overhead Tank In Dnakulu Community

 

SMI gathered that the borehole was constructed in 2021 by the Catholic Archdiocese of Abuja, through the former parish priest overseeing the area, Fr. Louis Duniya. The priest, in an interview, explained that the church decided to help the community after seeing what they pass through to get water. He noted that it had also assisted three other communities in the area.

David added that before the 'Catholic Church-assisted water project,' a non-governmental organisation had wanted to drill a borehole in the community but that the contractor complained about the inaccessibility of the road to the community, and that that was how they lost the chance.

Before the borehole was drilled, the people had to rely on streams for water. While they still visit the stream to take their bath and wash their clothes, the water from the borehole is now reserved for drinking and cooking due to the high cost of fuel for the pumping machine.

 

A need for a primary school

The two communities also expressed concern over the far distance of the only primary school in that whole area, which is situated in Galuwyi, adding that they fear for the safety of their children whenever they head to school.

“Because of the distance, many of our children don't go to school. The priest that helped us with the water project also gave us three bundles of zinc to build a small class for the children, but there is no one to teach them. I do my best to teach them whenever I come back from the farm,” explained Samuel, who had only finished primary school.

 

Civil Society Organisation speaks

As the communities grapple with these hardships, civil society organizations and residents are calling on the government to act swiftly.

Speaking in a phone interview with SMI, the Communication Officer, HipCity Innovation Center, Progress Ajanaku, lamented that many indigenous communities in the FCT are going through the same challenges, especially as it pertains to access to healthcare.

Ajanaku, whose organization had visited the 17 chiefdoms of the FCT, urged the area councils to work with the National Primary Health Care Center to ensure that more structures are built and the dilapidated, renovated, and upgraded.

On the need for more staff at the centers, Ajanaku urged the government to fully implement the Basic Health Care Provision Fund (BHCPF) to support pregnant women and children in the area.

The BHCPF is derived from an annual grant from the Federal Government of Nigeria of not less than one percent (1%) of the Consolidated Revenue Fund (CRF); grants by international donor partners; and funds from any other source, inclusive of the private sector.

The cry for attention from these marginalized communities echoes the broader challenges faced by indigenous communities in the FCT, emphasizing the urgent need for action and accountability.

 

Councilor denied the community 

The councilor of Shere Ward, Hon. Ali Tuzambo, denied knowing anything about the communities. The councilor spoke with SMI’s reporter on the phone. This was after he had turned down all scheduled interviews with him.

SMI also sought to see the Council Chairman, but attempts to book an appointment with him through his Chief of Staff, Sunday Zaka, and Chief Press Secretary, Agada Samuel Ernest, were unsuccessful.

 

This report is produced by Safer-Media Initiative under The Collaborative Media Engagement for Development, Inclusivity and Accountability Project (C-MEDIA Project) of the Wole Soyinka Centre for Investigative Journalism (WSCIJ) funded by the MacArthur Foundation.

 

Comments

Comment on this post

Place Your Advert Here