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Doctors Warn of Risky Pregnancy Spacing Trend Threatening Mothers and Newborns

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Medical experts in maternal health have raised concerns over increasingly short intervals between pregnancies, warning that the trend poses serious risks to both mothers and newborns.

The doctors, who spoke to a health publication, said women—especially those who delivered via caesarean section (CS)—are at higher risk when they conceive too soon after childbirth, stressing that the body needs sufficient time to recover before another pregnancy.

They recommended a minimum spacing of 24 months before conception after childbirth, noting that inadequate recovery time can lead to complications such as uterine scar rupture, anaemia, excessive bleeding, premature birth, poor foetal growth and, in severe cases, stillbirth.

The experts explained that women who have undergone CS are medically classified as high-risk, even when they appear healthy after delivery, due to the possibility of internal complications that may not be immediately visible.

They also warned against the growing influence of unverified health advice circulating on social media, urging women to rely strictly on guidance from qualified medical professionals.

The concern comes amid the emergence of a growing trend popularly referred to as “two-under-two,” where women have children in very rapid succession. According to the experts, such patterns may contribute to Nigeria’s already high rates of maternal and infant mortality if not properly addressed.

A Professor of Obstetrics and Gynaecology at the University of Uyo, Aniekan Abasiattai, explained that the uterus must fully heal after a caesarean section before another pregnancy is attempted.

He warned that if the surgical scar is not fully healed, it may rupture during labour, creating a life-threatening emergency for both mother and child.

He further noted that women who do not observe adequate spacing after CS are often advised against vaginal delivery in subsequent pregnancies, meaning repeat surgical delivery becomes necessary.

Beyond scar-related risks, he said short birth intervals increase the likelihood of anaemia, gestational diabetes, placenta complications and postpartum haemorrhage, particularly among women who are already medically vulnerable.

Another expert, Abubakar Panti, described short birth spacing as a major public health concern in Nigeria, warning that it continues to contribute to preventable maternal and infant health complications.

He advised that women should maintain at least a 24-month gap between childbirth and the next pregnancy, which translates to about three years between successive births for optimal health outcomes.

Panti added that closely spaced pregnancies place significant physical strain on breastfeeding mothers and increase risks such as preterm birth, low birth weight, and newborn complications.

He identified poor contraceptive use, cultural expectations for rapid childbearing, and late marriages as key drivers of unsafe birth spacing practices.

While acknowledging concerns about declining fertility among some women, he stressed that the medical risks of rapid successive pregnancies far outweigh such fears.

Both experts called for stronger integration of postpartum family planning into maternal healthcare services, as well as intensified public awareness campaigns to educate women on safe pregnancy spacing and its importance for maternal and child survival.

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Health

FG seeks private investment to provide reliable electricity for hospitals nationwide

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The federal government has unveiled a new framework to attract private-sector investment to provide reliable electricity to healthcare facilities across Nigeria.

This move, authorities noted, could improve healthcare delivery and reduce the impact of persistent power shortages in hospitals.

The initiative, known as the Nigeria Power for Health Initiative (NPHI), was launched on Monday at the National Healthcare Electrification Investors Matchmaking Forum in Lagos.

Speaking at the event, the Minister of State for Health and Social Welfare, Iziaq Salako, said inadequate electricity remains a major challenge for healthcare facilities, affecting critical services such as surgeries, vaccine storage, laboratory diagnostics, oxygen delivery and emergency care.

He said the new framework seeks to mobilise private capital to deploy and manage sustainable energy solutions across health facilities, reducing reliance on conventional government-funded infrastructure projects.

“Electricity is not merely a utility in a healthcare facility. It powers life-saving services and technologies that underpin healthcare delivery. When electricity fails, healthcare delivery stagnates,” Mr Salako said.

New model for healthcare electrification

Under the framework, healthcare facilities will adopt an Energy-as-a-Service (EaaS) model, under which private energy companies will finance, install, operate and maintain power systems while guaranteeing electricity supply to participating institutions.

Mr Salako said the arrangement would allow hospitals to focus on healthcare delivery while energy providers take responsibility for power infrastructure and maintenance.

He said the initiative is a key outcome of discussions held during the National Stakeholders’ Dialogue on Power in the Health Sector and noted that it represents a shift towards more sustainable financing for healthcare infrastructure.

Focus on tertiary hospitals

According to Mr Salako, the current phase of the programme will focus on federal tertiary health institutions, with plans to expand to primary and secondary healthcare facilities across the country.

He said the framework is built around blended financing, combining government support, development finance, climate finance, and private-sector investment to scale healthcare electrification nationwide.

To coordinate implementation, the government has established an Inter-Ministerial Steering Committee, a 24-member Inter-Agency Technical Committee, Facility Energy Management Teams and a Project Secretariat within the Federal Ministry of Health and Social Welfare.

Preparing hospitals for investors

Mr Salako said the ministry has also begun strengthening the investment readiness of federal hospitals by training directors of finance and accounts on energy economics, project finance, sustainable business models and investor engagement.

He noted that the government was creating conditions that would make healthcare facilities more attractive to investors and energy developers.

Mr Salako also acknowledged the support of the UK Partnership for Accelerating Climate Transitions (UK PACT) and Landell Mills International in developing the framework.

Addressing investors, commercial banks, development finance institutions, and climate financiers at the forum, Mr Salako said healthcare electrification presents significant investment opportunities while strengthening health outcomes.

Electricity in hospitals

According to the World Health Organisation (WHO), electricity is a fundamental requirement for safe and effective healthcare delivery, powering everything from lighting and communications to critical medical equipment used in surgeries, diagnostics, vaccine storage and emergency care.

The government’s latest push for healthcare electrification comes amid recurring power supply challenges in public hospitals, many of which have struggled with rising electricity costs, mounting debts, and prolonged blackouts.

In recent years, several tertiary health institutions have faced disruptions linked to electricity shortages.

Earlier this year, the University College Hospital (UHC) in Ibadan grappled with a prolonged blackout after it was disconnected from the national grid due to unpaid electricity bills.

The months-long outage disrupted clinical services, affected medical training, and triggered protests by students and health workers. Resident doctors also cited the prolonged power crisis as one of the reasons for industrial action at the facility.

Hospital authorities said the disconnection stemmed from accumulated electricity debts running into billions of naira, highlighting the growing financial burden energy costs imposed on public health institutions. During the blackout, departments relied heavily on generators and emergency power sources to sustain critical services.

Concerns over energy costs are not limited to UCH Ibadan.

Last year, the management of a teaching hospital in Akwa Ibom State disclosed that electricity bills accounted for about 40 per cent of its internally generated revenue, highlighting the pressure rising energy costs place on healthcare institutions already facing funding constraints.

Against this backdrop, the federal government has in recent years turned to alternative energy solutions for health facilities.

In February 2025, it announced plans to transition hospitals nationwide to solar energy following prolonged power disruptions at UCH, Ibadan, which severely affected clinical services during a major blackout.

The plan, which formed part of the 2025 health sector energy strategy, was to be implemented through the Rural Electrification Agency (REA) as a long-term response to rising diesel costs and unstable grid supply.

Intensifying its efforts, government officials had also disclosed efforts to solarise 371 Primary Health Care Centres (PHCs) across 16 states and the Federal Capital Territory as part of ongoing reforms in the sector. This is also aimed at reducing dependence on the national grid and improving service continuity in critical care units, theatres and laboratories.

More recently, in January 2026, the government inaugurated a 24-member Inter-Agency Technical Committee under the NPHI to coordinate the implementation of healthcare electrification projects nationwide.

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Health

Kaduna govt deepens partnership with LGAs on primary healthcare.

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Kaduna State government has intensified efforts to strengthen primary healthcare delivery by domesticating the Open Government Partnership (OGP) framework across its 23 local government areas.

The commitment was reaffirmed on Monday at the opening of a three-day orientation workshop for local government chairpersons and key stakeholders in Kaduna.

Speaking at the event, the Commissioner for Health, Umma Ahmed, said sustainable improvements in health outcomes could only be achieved when governance systems are open, inclusive, responsive and accountable to the people they serve.

Ms Ahmed said the state has remained a leading sub-national government in Nigeria’s OGP journey through the implementation of State Action Plans, which have recorded notable achievements in fiscal transparency, citizen engagement, procurement reforms, and social accountability.

The commissioner noted that the local government is the foundation of Primary Health Care delivery, and that it is at this level that communities interact most directly with government.

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She said the domestication of OGP at the local government level offers several opportunities, which include transparency and citizens’ access to information.

In his remarks, the Commissioner for Budget and Planning, Mukhtar Ahmed, said their core mandate is to ensure that every kobo spent by the government translates into tangible, sustainable development for citizens.

Mr Ahmed said the training workshop would guide the trainees through the practical mechanics of setting up LGA-level permanent dialogue mechanisms, also known as the OGP Steering Committees.

“These structures will bring government officials and civil society representatives to the same table to co-create your first Local Government Action Plans (LGAPs),” he said.

“We are intentionally focusing this rollout on primary healthcare service delivery. This is because health is the foundation of human capital development.”

According to him, open governance would help improve primary healthcare financing, strengthen resource tracking and ensure that investments translate into better outcomes for vulnerable women and children across the state’s 23 LGAs.

Delivering a goodwill message on behalf of development partners, Anthony Shamang said the OGP initiative provided a framework for engaging communities and ensuring that health services remained accessible and responsive to citizens’ needs.

He urged local government leaders to embrace open governance principles to foster trust, participation and accountability.

“By working together, we can create an environment where citizens are informed, involved and able to hold their leaders accountable for the quality of health services provided,” Mr Shamang said.

Also speaking, Ekanem Isichei, the deputy director of communications at the Gates Foundation, commended the Kaduna State for bringing local government chairmen together to move OGP from principle to practice, with a clear focus on strengthening primary health care.

He said ultimately, plans or committees will not judge OGP, but by whether resources reach facilities and services that impact the people.

“This means setting clear, measurable priorities in your budgets—and aligning spending to PHC outcomes, not just line items.

“Tracking releases and utilisation of funds regularly, to ensure what is planned is actually delivered.” Mr Isichei said.

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He urged participants to develop plans by identifying two to three financing or service delivery bottlenecks they will fix within the next 12 months and to track them publicly.

“If each LGA does this well, Kaduna State will not just implement OGP, it will demonstrate what accountable, results-driven governance looks like in practice.

He also reaffirmed the foundation’s support for the state in strengthening health financing, accountability and service delivery systems.


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