Journey to Ekiti State, Nigeria

 

8^th June 2011. I am en route to Ekiti State for the very first time. As I board the Air Nigeria plane that will take me from Accra to Lagos for the first leg of my journey I am handed a copy of the National Mirror by one of the flight attendants. I scan the paper and my attention is caught by 2 headlines, “Conduct bureau urges public officers to publish assets”[i] and “EU to partner Ekiti on growth, development”[ii]. The first headline refers to the fact that the Governor and Deputy Governor of Ekiti State, Dr Kayode Fayemi and Mrs Funmi Olayinka are the first political holders in office to declare and publish their assets. The second headline gives details of a visit to Ekiti state by the EU Ambassador to Nigeria “in view of the governor’s focus on reforms in governance”.

 

Reading a newspaper article on ‘the governor’s focus on reforms in governance’ is appropriate as it’s these very reforms that have led to my trip to Ekiti, Nigeria.

I am visiting Ekiti as part of AWDF’s work with the African Women Leaders Network for Reproductive Heath and Family Planning (AWLN). AWDF and the International Planned Parenthood Federation Africa Region (IPPFAR) are co-coordinators of the AWLN – a collective of 35 African women leaders who are critical change agents working on issues of women’s rights, reproductive health, social justice and development. Bisi Adeleye-Fayemi, President of AWDF and First Lady of Ekiti State, Nigeria is also a member of the AWLN.

 

AWLN as part of its strategy to mobilize greater commitment to addressing maternal health and a range of reproductive health concerns, seeks to partner with leaders who have prioritized these issues at political levels. The AWLN trip to Ekiti is to engage with the government of Ekiti who have shown commitment to prioritizing issues of maternal and reproductive health. Whilst running for office, Dr Fayemi campaigned on an 8-point agenda including ‘women’s development’, and ‘health’ as priority issues.

 

Meeting Ekiti’s Key Public Officials

9^th June 2011. An AWLN team comprising staff from International Planned Parenthood Federation Africa Region (IPPFAR) and AWDF as well as Nigerian based Network Members, H.E. Bisi Adeleye-Fayemi, President of AWDF/First Lady of Ekiti State; Hon Saudatu Sani, Chairperson of the House of Representatives Committee on MDGs; participated in a reproductive health dialogue alongside key stakeholders in Ekiti including the Deputy Governor, H.E. Funmi Olayinka; Dr Wole Olugboji, Commissioner for Health; Ms Peju Babafemi, Permanent Secretary, Ministry of Women Affairs, Social Development and Gender Empowerment; Dr D.K. Aina, Permanent Secretary, Ministry of Health and Rev. Olu Fatile, Director, Planned Parenthood Federation of Nigeria – South West Region. The occasion was also used as an opportunity to launch a ‘Maternal Health Record Book’ and a ‘Multiple Birth Trust Fund’.

 

Dr D.K. Aina set the tone for the dialogue with his presentation on “Policy Dimensions: Achievements and Challenges of Maternal Health Services in Ekiti State”. According to his presentation, some of the current structural, policy and legal provisions for the improvement of maternal health in Ekiti state include:

 

• The Deferral and Exemption Scheme, which ensures that the poor and vulnerable have access to maternal health services.
• The enactment of laws to protect women’s rights and reproductive health including the prohibition of harmful widowhood rites, female genital mutilation and gender violence.
• The existence of a Life Saving Skills centre to train nurses and midwives for maternal health purposes.

 

New policy initiatives outlined by Dr Aina included:

 

• The pending launch of free health care services for pregnant women
• A community based approach to the reporting of maternal mortality through the distribution of maternal mortality registers at palaces, churches, mosques and diverse focal areas in communities.

 

His presentation highlighted maternal health data in Ekiti state with women bearing an average of 5 children, 20% of women delivering in public health facilities, 15% in private facilities and 62% at home. Major challenges indentified in accessing health care include a lack of resources to pay for care, unavailability of drugs and concerns about healthcare providers.

 

Reproductive Health Dialogue

Hon Saudatu Sani shared that in her experience as a Member of Parliament from 2003-2011, and Chair of the MDG Committee, a lack of skilled workers in hospital was recognized as the key reason for poor reproductive health services. She challenged states like Ekiti to train more midwives by 2015 and stated, “Nigeria is at the driving seat where the MDGs are concerned.” Hon Saudatu Sani shared that a network of African parliamentarians have been mobilizing African governments to commit to the achievement of the MDGs and encouraged H.E. Bisi Adeleye-Fayemi to speak to the wives of other Governors on the subject of reproductive health. She further commended Her Excellency on inspiring the creation of a Maternal Health Record Book for the women of Ekiti state which she cited as a practical example of an action to support women’s reproductive health.

 

Sarah Mukasa, Director of Programmes at AWDF invited the Deputy Governor to share how they had succeeded in obtaining the commitment of Ekiti state for women’s reproductive health.

 

In her response, the Deputy Governor, H.E. Funmi Olayinka stated,

“The first success story is a First Lady who has ‘know how’. The second success story is a Governor who respects women and is passionate about women’s rights as well as the committed staff at the Ministry of Health”.

 

H.E. Bisi Adeleye-Fayemi, President of AWDF/First Lady of Ekiti State and AWLN Member shared key lessons from the process of politicizing women’s reproductive health as follows,

“Partnerships are of critical importance. If officials at the Ministry of Health were not supportive, we wouldn’t have been able to create the maternal health record book, which was inspired by the work of the Nana Yaa Memorial Trust in Ghana, an AWDF grantee. This is another example of collaboration.”

 

Dr Wole Olugboji, Commissioner for Health attributed the success of prioritizing reproductive health to political will. He further stated, “those who continue the act of FGM will face the full penalty of the law”. Dr Olugboji encouraged the people of Ekiti to take family planning seriously. In his words, “Ekiti is an agricultural state and farmers know that if you plant crops too closely to one another your output will be poor. The same applies to giving birth to children. A space of 2 years is recommended between child delivery.” He also spoke about the benefits of vasectomy as a family planning method and expressed his willingness to lead the men in Ekiti State by example in this regard.

 

H.E. Bisi Adeleye-Fayemi commended the Commissioner for Health on his efforts and urged him to consider the example set by Edo state (a neighbour to Ekiti state), which has passed a ‘Reproductive Health Bill for Women’. She described the bill as a good model for Ekiti state.

 

Community Responses to Reproductive Health Dialogue

The reproductive health dialogue was extremely well attended with participants ranging from government officials, civil society organizations, health workers and members of the community who took the opportunity to dialogue with Ekiti’s senior politicians and public officials on the way forward for women’s reproductive health in the state.

 

Comments, feedback and questions from the floor included:

 

“The use of the maternal health record books should be entrenched in the curriculum of the training for health centres and nursing schools”.

 

“CBOs want to do advocacy on the maternal health books – we will target local communities, market women, etc”

 

“More training should be given to traditional birth attendants”

 

Dr Ladley, a consultant gynecologist affirmed her support for the further training of traditional birth attendant. She said, “…most people don’t come to hospitals. University students should be trained in the proper use of the pills. Girls are using abortions as preventative family planning.”

 

Dr Olomojobi, a health researcher made the following input, “There is no single maternal audit record in the state. Statistics are not available on which mothers have been assisted, who had complications, etc. There is a need for harmonization across the health sector in Ekiti. We need the support of the AWLN at the training and dissemination levels of the maternal health record book”.

 

Key ‘asks’ from the AWLN

Funmi Balogun of IPPFAR on behalf of the AWLN made key ‘asks’ of Ekiti’s public officials and promised that the AWLN would make a return trip to Ekiti to follow up on the following:

 

• Can you commit to dedicating 15% of your budget to health as per the Abuja declaration?

 

• How do we ensure standards for faith-based organizations where many people go to give birth?

 

• Sexual health education should start from schools.

 

Closing address by H.E. Funmi Olayinka, Deputy Governor, Ekiti State

In her closing address, H.E. Funmi Olayinka informed the audience that Ekiti State had on the 8^th of June 2011 become the first state in Nigeria to pass a “Gender Policy” in line with Nigeria’s national policy and international conventions with the support of H.E. Bisi Adeleye-Fayemi’s expertise.

 

She also confirmed that the Governor of Ekiti State, Dr Kayode Fayemi will be reviewing the state’s budget for maternal health and stated, “ I reinstate the unreserved commitment of this administration to preserving and ensuring qualitative health care delivery to our citizens, particularly the women and children of Ekiti state.”

By: Nana Darkoa Sekyiamah

Programme Officer

African Women’s Development Fund