Health
How poverty affects childhood development in Nigerian capital
Published
3 weeks agoon
By
Preport
Eight-year-old Marvellous gripped a worn pencil tightly as she wrote on a single sheet of paper, kneeling on the bare concrete floor of an unfinished compound in Karshi, a satellite community on the outskirts of Abuja, Nigeria’s capital city.
Around her, four younger siblings sat barefoot, watching every movement of the pencil. Among them was a two-year-old toddler with mucus running from her nose.
The children barely noticed the visitor.
Because she is a minor, this reporter did not interview Marvellous directly. When asked if her parents were around, she quietly disappeared into the unfinished building behind her and returned moments later with her mother, Joy Kelvin.


Mrs Kelvin offered this reporter a wooden chair before settling on a stone beside the children. Behind her stood the family’s home, an unfinished three-bedroom building with exposed concrete walls and sections of roofing already beginning to deteriorate.
The structure does not belong to the family.
The owner allowed them to stay temporarily after they could no longer afford rent at their previous residence. The arrangement, however, comes with uncertainty.
“If the man decides to sell this house, we have no choice but to move again,” Mrs Kelvin told PREMIUM TIMES.
For many families, relocation is largely a housing challenge. For young children, particularly during their formative years, it can also disrupt the stability that underpins healthy development.
Frequent moves disrupt routines, friendships, schooling, and a child’s sense of security, all factors that child development experts say are essential during the early years of life.
Mrs Kelvin and her husband are raising five children on irregular incomes. She works as a domestic help while her husband is a tailor. Together, they navigate fluctuating earnings that force difficult choices about what can be paid for immediately and what must wait.
Food is often one of those choices. On some days, the family manages two meals. On other days, everyone eats only once.
Their meals consist largely of corn-based staples served with soup and whatever other food they can afford. Like many low-income households, they base their diet less on nutritional planning than on household income.
Despite these challenges, Mrs Kelvin remains determined to keep her children in school.
They attend a nearby private school, largely because the proprietor allows flexible payment arrangements.
“The owner of the school understands our condition, so she allows us to pay whatever we have, whenever we have it,” she said.
Without that flexibility, keeping the children in school would be difficult.
The family’s circumstances reflect a broader reality confronting many Nigerian households, where poverty shapes not only living conditions but also children’s opportunities to learn, play and thrive during the years experts describe as the most important period of development.
The years that shape a child’s future
Early childhood development refers to the period during which children experience rapid physical, cognitive, emotional and social growth.
Although the World Health Organisation (WHO) defines early childhood as the period from birth to age eight, child development specialists consistently identify the first five years as the most critical.

During this period, the brain develops at an extraordinary pace.
According to the United Nations Children’s Fund (UNICEF), more than one million new neural connections form every second during a child’s early years. These connections are shaped not only by genetics but also by the environments in which children grow, including the quality of nutrition they receive, the care they experience, opportunities for play and learning, housing conditions, exposure to stress and access to healthcare.
In practical terms, the environments children grow up in help shape how they learn, interact, communicate and adapt to the world around them.
For children like Marvellous and her siblings, those formative years are unfolding amid unstable housing, financial hardship and persistent uncertainty.
Inyang Ekan, a family physician working with Nigeria’s Sector-Wide Approach (SWAp) programme, said stability is especially important during early childhood because young children depend heavily on predictable environments to build emotional security and healthy social relationships.
Mr Ekan noted that stability extends beyond having a roof over a child’s head. It includes consistent relationships, familiar surroundings and routines that help children feel secure as they grow.
For families already struggling to meet basic needs, however, achieving such stability can be difficult.
When survival takes priority over stimulation
Inside Mrs Kelvin’s home, poverty influences more than where the family lives. It also shapes how every available naira is spent.
Feeding the children comes first. Other needs are considered only if money remains.

That reality became clear when Mrs Kelvin was asked whether she bought toys for her children.
“Toys?” she repeated, pausing briefly before responding.
“I can’t remember when last I got them toys. It is someone who has eaten that can buy toys.”
The response was neither dismissive nor indifferent. Rather, it reflected the practical calculations common in low-income households where every available naira is directed towards immediate necessities.
Beyond the paper in Marvellous’s hands, little suggested the kind of environment often associated with early childhood learning. Mrs Kelvin explained that the children often entertained themselves with sticks, improvised games and what she described as “children’s drama”, creating their own forms of play within the limits of what was available.
Mr Ekan says that childhood development depends on more than just food and schooling.
He noted that play, interaction, storytelling and exploration are all important components of early learning. Through play, children develop language, problem-solving abilities, creativity and social skills.
He added that developmental opportunities do not necessarily require expensive toys, but they do require stimulation and interaction.
Mr Ekan noted that siblings often play an important role in supporting early learning.
“Children can learn through teaching, guiding and playing with siblings. Simple games, storytelling, drawing and everyday objects can also support development.”
In many ways, Marvellous appeared to be performing that role. As she worked with her pencil and paper, her younger siblings watched closely, learning through observation and imitation.
However, developmental opportunities are also shaped by health and access to care.
Mrs Kelvin said she often relies on herbal remedies popularly known as “agbo” whenever her children fall ill. Formal healthcare is usually considered only when home treatment fails.
The nearest health facility, Karshi General Hospital, is geographically accessible. Financially, however, accessing healthcare is often more complicated.
Food insecurity and its developmental consequences
For Mrs Kelvin’s family, food insecurity is not simply about whether there is something to eat. It is also about whether the children consistently receive the variety of nutrients they need during the most important years of their development.
Orewole Fisayo, a paediatric nursing specialist at Mercy University Teaching Hospital in Osun State, described the first five years of life as a critical “window of opportunity” for child development.
“By age three, a child’s brain has already reached about 80 per cent of its adult size. Every nutrient a child takes in during this period is helping to build the architecture of the brain, immune system and physical body,” she said.
Ms Fisayo explained that inadequate nutrition affects far more than physical growth.
“These children do not underperform because they are less intelligent. Their brains are simply underfuelled.”
Research supports these concerns.
According to a World Bank report on Nigeria’s early childhood development outcomes, only 24.1 per cent of children aged four to six can write a simple word beyond their own name.
Just 39 per cent can correctly identify the larger of two single-digit numbers, while only 20.4 per cent demonstrate basic planning skills.
Broader indicators also reveal significant disparities in children’s access to adequate nutrition.
Data from the Nigeria Multidimensional Poverty Index show that food insecurity affects 24.1 per cent of children in Lagos, 34 per cent in Abuja, 49.5 per cent in Enugu, and 38.1 per cent in Kebbi.
Nutrition deprivation presents an equally troubling picture. While 11 per cent of children in Lagos experience nutrition deprivation, the figure rises to 12.1 per cent in Enugu, 31.5 per cent in Abuja and 54.4 per cent in Kebbi.
For households such as Mrs Kelvin’s, these statistics are reflected in everyday decisions about what food to purchase and how meals are distributed among family members.
According to Ms Fisayo, dietary diversity remains essential because no single food contains all the nutrients children require for healthy development.
Another childhood shaped by housing conditions
A few kilometres away, another family was confronting a different kind of hardship.
The first time this reporter passed through the area in Karshi, it was already evening.
Beneath a streetlight beside a row of shop compartments sat a small figure, motionless in the fading light.
From a distance, it was difficult to tell exactly what it was—a child, a shadow or simply another passing scene in a busy neighbourhood.
There was little reason to stop.
But on another evening, the figure appeared again in exactly the same place. Still beneath the same streetlight. Still alone.
Days later, on a Sunday morning, the mystery finally gave way to an answer.
People were coming out of the same row of shop compartments, moving in and out as if it were a lived-in space rather than a commercial structure. Among them were children.

The shops were not merely shops; people were living inside them.
That discovery raised a question this reporter could no longer ignore: What is it like for children to spend their earliest years growing up in a place never designed to be a home?
Living in two of the shop’s compartments was Loryoosu Ignatius, a farmer, occasional construction worker, and father of five.
When this reporter arrived, two of his sons were playing barefoot on a heap of stones beside a small corn farm behind the shops.
The older boy had just returned after calling his father from inside one of the compartments. He is eight years old. His younger brother is six.
Their three sisters, Mr Ignatius said, are in senior secondary school.
Mr Ignatius explained that his family previously lived in a rented three-bedroom apartment. Their circumstances changed after repeated thefts at his employer’s property. To protect the site, someone needed to remain there permanently.

He volunteered.
The arrangement eliminated rent but required that he relocate his family into the shop structures, where they have remained for the past three years.
“The man said he was going to come and build a standard space for my family and me, but to date, he has not come,” he said.
Inside, the family occupies two compartments. One serves as a sleeping space for the parents, while the other houses the children.
Neither room has windows.
At night, pieces of cloth are spread directly across the floor to create makeshift sleeping areas. During periods of intense heat, the family often sleeps outdoors.
“Sometimes the heat is too much, so we come outside to sleep,” he said.
For Mr Ignatius’ six-year-old son, these conditions have shaped much of his early childhood. Having spent three of his six years living in the shop compartments, he has grown up in a space never intended for family life.
His daily routine revolves around Government Primary School, Karshi, the surrounding open spaces and improvised forms of play.
Behind the shop structures, he and his brother use stones, sand, and discarded objects to create their own games, transforming the surrounding environment into makeshift playgrounds.
Despite these challenges, the family has developed ways of adapting.
Unlike Mrs Kelvin’s household, food insecurity is not their primary concern.
As a farmer, Mr Ignatius grows rice, beans, yams, and other crops. Much of what the family eats comes directly from the farm.
“We eat fruits very well. The children eat what we harvest.”
The health risks hidden within inadequate housing
The shop compartments present challenges that extend beyond overcrowding.
Poor ventilation, exposure to mosquitoes and environmental hazards all shape the children’s daily experiences.

“I have killed many snakes here,” Mr Ignatius said.
The same open spaces where the children play during the day become sources of concern at night.
Health issues have also emerged within the household. Mr Ignatius described recurring skin conditions affecting some of the children. Although he could not identify the condition by name, he demonstrated its appearance by drawing circles on his arm. He explained that he treats it at home using Ampiclox mixed with water.
While Mr Ignatius spoke about these conditions matter-of-factly, child development experts say the implications extend beyond day-to-day discomfort.
During the first five years of life, repeated exposure to illness, poor housing and environmental stressors can shape children’s physical, cognitive and emotional development in ways that may persist into later childhood.
Princess Olatubosun, a psychiatrist with the Ifedoyin and Friends Charity Organisation, said such living conditions can affect children’s health and development in multiple ways, often extending beyond the immediate risks that families notice.
Ms Olatubosun explained that poor ventilation and overcrowded living spaces can increase the risk of respiratory infections, including pneumonia and other illnesses that spread in poorly ventilated environments.
Sleeping outdoors, she added, exposes children to mosquito bites, increasing the risk of malaria and other vector-borne diseases.
According to her, prolonged exposure to excessive heat and inadequate shelter can also lead to dehydration, sleep disruption, heat stress and physical discomfort. While these conditions may appear temporary, they can affect children’s overall well-being and their ability to learn and concentrate.
She further noted that environmental conditions surrounding daily activities can create additional health risks. Children who spend significant time in outdoor environments may be exposed to smoke, environmental pollutants, contaminated water and poor hygiene conditions that can contribute to infections and other illnesses.
Frequent illness, she said, can have broader developmental consequences.
Children who are repeatedly unwell may experience reduced appetite, poor nutrient absorption and interruptions to normal growth and development.
Beyond physical health, she noted that inadequate sleeping conditions can affect sleep quality, concentration, learning ability and emotional regulation.
“Inadequate housing and lack of privacy can cause stress, anxiety and emotional insecurity in children,” she said.
She added that repeated exposure to unstable living conditions may also contribute to feelings of insecurity and social stigma, affecting children’s mental health, confidence and social development.
Learning beneath a streetlight
Each evening, the streetlight outside the shop compartments takes on a purpose beyond lighting the neighbourhood.
It becomes a classroom.
It was beneath that same light that this reporter repeatedly noticed the small figure sitting quietly in the evenings, long before discovering that families were living inside the shop structures.
READ ALSO: Nigeria’s security crisis rooted in governance failures, poverty, scholars say
Mr Ignatius explained that his employer installed the light outside the property. With limited electricity in the shop’s compartments, his children move outdoors after sunset, setting up a small table beneath the streetlight to complete their homework.
What appears to be resilience is also evidence of deprivation.
The children are learning, but under circumstances few would choose for them.
A different beginning
Within the same community, another household presents a contrasting picture.
When this reporter visited the home of Goodness Adaoyiche, signs of childhood were immediately visible.
Teddy bears rested on a chair inside the sitting room. Children’s books and educational materials were kept in designated spaces. The environment was organised, well-ventilated and clearly structured around the needs of young children.

Mrs Adaoyiche and her husband are raising two children aged six and four.
Unlike the previous households, concerns about housing insecurity and food scarcity were absent from the conversation.
Instead, discussions centred on learning, growth and development.
Mrs Adaoyiche explained that educational activities are intentionally encouraged at home. Her younger child, currently in Nursery One, can already read simple words. To demonstrate this, she produced certificates recognising academic performance and classroom participation.

Nutrition also receives deliberate attention.
“My children eat as much as they want, sometimes five times a day,” she said.
Although food is readily available, she explained that meals are carefully balanced and regularly include fruits and other nutritious foods.
The family also provides educational toys and learning materials, replacing them whenever necessary.
The children were not at home during this reporter’s visit, but the environment itself spoke volumes.
Unlike the uncertainty that surrounded Marvellous’ family or the cramped shop compartments where the Ignatius children were growing up, this home offered predictability, stability and space to learn and play.
The contrast was about more than material possessions.
It reflected the vastly different developmental opportunities available to children growing up within the same community.
Books, toys, balanced nutrition, structured learning and stable housing combine to create an environment that nurtures healthy development during the earliest years of life.
What the data reveals
The differences observed across the three households mirror broader national patterns.
According to the Nigeria General Household Survey-Panel (GHS-Panel) Wave 5 (2023/2024), approximately 74 per cent of children in urban areas are able to complete most developmental tasks assessed in the survey, compared with only 42 per cent of children in rural areas.
The gap is particularly evident in literacy-related skills, where urban children outperform rural children across reading, writing, and letter recognition indicators.
Researchers attribute these disparities to differences in access to educational resources, household learning environments, caregiver support and broader socio-economic conditions.
The contrast between Mrs Kelvin’s unfinished home, the Ignatius family’s shop compartments and Mrs Adaoyiche’s household demonstrates how these national disparities are experienced in everyday life.
While one child grows up amid housing uncertainty and food insecurity, another navigates environmental hazards and overcrowded living conditions, while others benefit from stable homes, learning materials and consistent nutrition.
Together, their experiences show how living conditions shape developmental opportunities long before formal schooling begins.
The findings suggest that childhood development is shaped not only by individual ability but also by the environments in which children grow.
Editor’s note: The names of the children used in this report have been changed to protect their identities.
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Health
Resident doctors threaten nationwide strike over unpaid arrears, welfare concerns
Published
9 hours agoon
July 31, 2026By
Preport
The Nigerian Association of Resident Doctors (NARD) has threatened to embark on a nationwide indefinite strike from 10 August if the federal government fails to address outstanding salary arrears, welfare concerns and other longstanding issues affecting its members.
The association announced the decision in a communiqué issued after its National Executive Council (NEC) meeting in Gombe State, where it reviewed the implementation of previous agreements reached with the government.
NARD said the proposed Total and Comprehensive Industrial Strike (TICS) would commence at 8 a.m. on 10 August unless its demands are met before the deadline.
“The NEC reaffirmed its commitment to constructive engagement and dialogue but reiterated that the welfare of resident doctors and the survival of Nigeria’s healthcare system remain non-negotiable,” the communiqué stated.
Unpaid arrears
Among its demands, the association called for the immediate payment of outstanding arrears arising from the 25 and 35 per cent Consolidated Medical Salary Structure (CONMESS) review, 19 months of unpaid professional allowance arrears, as well as outstanding salary and promotion arrears owed to doctors in several federal health institutions.
It also urged the government to ensure that all eligible resident doctors omitted from the 2026 Medical Residency Training Fund (MRTF) disbursement are paid without further delay.
While acknowledging the federal government’s recent disbursement of the residency training fund to eligible beneficiaries, NARD said many financial obligations to resident doctors remain unresolved.
LUTH crisis
The association also raised concerns over what it described as the continued intimidation of resident doctors at the Lagos University Teaching Hospital (LUTH).
It accused the hospital management of refusing to provide call duty meals despite repeated engagements and called on the federal government to intervene.
NARD warned that failure to resolve the issues at LUTH before 10 August would leave it with no option but to proceed with industrial action.
Assaults on doctors, broader healthcare challenges
NARD condemned what it described as persistent assaults, harassment and intimidation of doctors across the country, saying such incidents threaten an already fragile healthcare system.
It called for a national protocol to prevent violence against healthcare workers and urged lawmakers to criminalise assaults on health personnel.
The association expressed concern over deteriorating infrastructure in public hospitals, citing inadequate medical equipment, unreliable electricity supply and poor maintenance of health facilities.
It also highlighted chronic underfunding of the health sector, shortages of healthcare workers and high out-of-pocket healthcare costs, saying these continue to limit access to quality healthcare for millions of Nigerians.
NARD urged federal and state governments to increase investment in healthcare, strengthen primary healthcare services, improve health financing and recruit more health workers to advance universal health coverage.
READ ALSO: NARD renews call to protect health workers following assault on doctor in Kwara
The association further called for the speedy conclusion and implementation of the Medical and Health Workers’ Collective Bargaining Agreement and the recommendations of the ministerial committee reviewing excessive workloads, prolonged call duty hours, casualisation of doctors and the abuse of locum appointments.
It also demanded urgent action to address salary delays, unpaid arrears and internship placement challenges affecting house officers.
Nigeria has experienced several industrial actions by resident doctors in recent years, with disputes largely centred on unpaid salaries and allowances, poor working conditions, residency training funding and the implementation of agreements reached with the government.
Health experts have repeatedly warned that prolonged strikes disrupt access to healthcare, delay surgeries and worsen pressure on an already overstretched health system, particularly for patients who rely on public hospitals.
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Health
FG to offer 25,000 free cataract surgeries nationwide by 2027
Published
22 hours agoon
July 30, 2026By
Preport
The federal government says it will provide 25,000 free cataract surgeries nationwide by the end of 2027 as part of efforts to reduce avoidable blindness and improve access to quality eye care.
The Minister of State for Health and Social Welfare, Iziaq Salako, announced this on Thursday at the 49th Annual Scientific Conference of the Nigerian Optometric Association (NOA) and the African Council of Optometry (AFCO) meeting in Abuja.
Mr Salako said the surgeries would be carried out under the Renewed Hope Health Connect initiative, which aims to bring healthcare services closer to underserved communities across the country.
He said funding for the programme had already been provided in the 2025 and 2026 federal budgets, with implementation expected to begin in late October or early November this year.
“The process is already ongoing and, all things being equal, we hope to start the implementation by late October or early November this year,” he said.
Expanding primary eye care services
The minister said eye health had remained neglected for years, despite preventable visual impairment continuing to deprive millions of Nigerians of productivity, independence, economic opportunities and personal dignity.
He said President Bola Tinubu had placed deliberate emphasis on expanding primary eye care services and tackling preventable blindness through sustained investments, reforms and strengthened healthcare delivery systems.
According to him, the National Eye Health Strategic Development Plan 2024–2028 integrates eye care services across primary, secondary, and tertiary healthcare levels to improve early detection nationwide.
Mr Salako said the federal government had also inaugurated the Nigeria Glaucoma Guidelines and Toolkit to standardise diagnosis, treatment and referral protocols for glaucoma management across healthcare facilities nationwide.
He said ophthalmologists from the 36 states and the Federal Capital Territory had already been trained on the guidelines to facilitate effective implementation and improve patient outcomes nationwide.
He added that under the Effective Spectacle Coverage Initiative Nigeria-JigiBola 2.0, more than 2,220 primary healthcare workers across 16 states had been trained to conduct vision screening.
He said the JigiBola 2.0 initiative had screened almost two million Nigerians and provided more than 1.3 million people with free reading glasses across participating states nationwide.
According to him, approximately 66 per cent of beneficiaries received their first-ever pair of spectacles through the intervention, highlighting the significant unmet need for eye care services.
“The Jigi-Bola 2.0 is now being expanded under the Renewed Hope Health Connect to deliver at least five million free pairs of spectacles and 25,000 free cataract surgeries by the end of 2027,” he said.
Optometrists
Mr Salako described optometrists as on the front line of community eye health, emphasising that their expertise remained critical to achieving universal eye health coverage and reducing preventable blindness nationwide.
Earlier, President of the Nigerian Optometric Association, Chimeziri Anderson, said the conference was conceived to harmonise and standardise optometry education, training and practice across African countries.
Mr Anderson said the gathering would strengthen collaboration among African nations, promote the dissemination of research, and bridge differences in professional training, competencies, and regulatory frameworks across the continent.
He added that the association had partnered with organisations to facilitate free cataract surgeries, recording about 60 successful procedures during a recent outreach programme for vulnerable patients.
Also speaking, President of AFCO, Remi Ninkpe, called for a harmonised framework to guide optometry education, training and professional practice across Africa.
Mr Ninkpe said Africa had made remarkable progress in expanding optometry training, clinical services and professional recognition through collective efforts by governments, institutions and professional associations.
He, however, said that differences in curriculum, competencies and scope of practice continued to limit workforce mobility, professional integration and regional advancement across the continent.
“A harmonised, structured framework will deliver clarity of practice, workforce mobility, shared tools and one united voice for policy and advocacy,” he said.
READ ALSO: NNPC Foundation begins free cataract surgeries for 1,000 beneficiaries in Zaria
In his welcome address, the Chairman of the NOA Federal Capital Territory Chapter, Njezi Kennedy, described the conference as a landmark gathering to advance eye care across Africa.
Mr Kennedy commended the association’s leadership for strengthening professional advocacy, expanding global engagement, and successfully bringing the continental conference to Nigeria to foster wider collaboration and knowledge exchange.
He urged participants to maximise the scientific sessions, deepen professional collaboration and renew their commitment to eliminating avoidable blindness while improving eye health outcomes across Africa.
The conference, themed “Optometrists in a Changing Africa: From Diversity to Unity,” brought together eye care professionals, researchers and policymakers to discuss strategies for improving eye health services across the continent.
(NAN)
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