Health
How poverty affects childhood development in Nigerian capital
Published
4 months agoon
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
Health Review: Ebola case, child malnutrition, medicine security, other developments that shaped October
Published
8 hours agoon
November 3, 2026
October brought major developments across Nigeria’s health sector, with the confirmation of an Ebola case in Abuja prompting renewed disease surveillance, contact tracing and emergency response measures.
The month also saw growing concerns over Nigeria’s dependence on imported pharmaceutical ingredients, child malnutrition and challenges affecting maternal and child healthcare.
Beyond Nigeria, the Ebola outbreak in the Democratic Republic of the Congo (DRC) continued to raise concerns about regional health security.
PREMIUM TIMES reviews some of the major health developments that shaped October.
Nigeria confirms first Ebola case in over a decade
Nigeria confirmed its first Ebola case since 2014 on 20 October, involving a 42-year-old Ugandan-born woman living in Abuja who recently returned from Uganda.
The confirmation prompted contact tracing, heightened surveillance and infection prevention measures across healthcare facilities.
The Nigeria Centre for Disease Control and Prevention (NCDC) initially identified 44 close contacts, with the number increasing as investigations continued.
Ebola patient evacuated to Switzerland
Nigeria’s confirmed Ebola patient and her husband were medically evacuated to Switzerland on 26 October after the patient received treatment in isolation in Abuja.
The patient was transferred to Geneva University Hospitals, while her husband was placed in isolation at University Hospital Zurich.
Following the evacuation, the World Health Organisation (WHO) said Nigeria had no active confirmed Ebola case, although surveillance and monitoring of exposed contacts continued.
NCDC expands health declarations for international travellers
The NCDC expanded the health declaration requirement to all international travellers after confirming Ebola in Abuja.
The agency said the measure was intended to strengthen screening at points of entry and support the early identification of potential infections.
It also urged healthcare facilities to isolate suspected cases promptly and strengthen infection prevention measures.
Suspected Ebola cases in Adamawa test negative
Two suspected Ebola cases identified in Adamawa State tested negative after two rounds of laboratory testing, the NCDC announced on 31 October.
The suspected cases involved a 34-year-old pilot and his wife, a medical doctor, who were admitted to an isolation facility at the Modibbo Adama University Teaching Hospital in Yola after developing symptoms suggestive of Ebola.
The agency said the Abuja case remained Nigeria’s only laboratory-confirmed Ebola infection during the outbreak.
FG clarifies N10 billion emergency disease response funding
The NCDC said the N10 billion emergency intervention fund approved by the federal government was intended to strengthen preparedness and response to Ebola, Lassa fever and other emerging infectious diseases.
The agency explained that the funding would support surveillance, laboratory diagnosis, protective equipment, emergency operations and rehabilitation of isolation facilities.
The clarification came amid questions over how the emergency allocation was being utilised following the confirmation of Ebola in Abuja.
Child malnutrition admissions rise in North-east
The International Committee of the Red Cross (ICRC) reported an 18 per cent increase in malnutrition admissions at 10 supported health facilities in North-east Nigeria.
The facilities recorded nearly 20,000 admissions between January and September 2026, compared with about 17,000 during the same period in 2025.
Children, pregnant women and breastfeeding mothers were among those most affected, highlighting the continuing impact of insecurity and food shortages on vulnerable communities.
FG partners US foundation to mobilise $1 billion against malnutrition
The federal government announced a partnership with the US-based Operation End Starvation initiative to mobilise more than $1 billion to address child malnutrition and starvation-related deaths across sub-Saharan Africa.
Nigeria was identified as a priority country under the initiative, which aims to mobilise funding over two years.
The government said the partnership would complement existing interventions addressing hunger and acute malnutrition among children, pregnant women and breastfeeding mothers.
Imported drug ingredients raise medicine security concerns
Health and pharmaceutical stakeholders warned that Nigeria’s dependence on imported active pharmaceutical ingredients (APIs) could undermine medicine security and expose the country to global supply disruptions.
At a meeting organised by Nigeria Health Watch in partnership with the World Bank Group, stakeholders called for increased domestic production of essential pharmaceutical ingredients.
They identified inadequate infrastructure, unreliable electricity, financing constraints and regulatory challenges as major barriers to local manufacturing.
WHO warns of widespread undiagnosed diabetes in Africa
The WHO raised concerns over the growing diabetes burden in Africa, warning that about 75 per cent of people living with the condition in the region remain undiagnosed.
The organisation said an estimated 24.6 million adults aged between 20 and 79 were living with diabetes in the African region.
The findings renewed concerns about limited screening, delayed diagnosis and access to treatment for non-communicable diseases.
Ebola outbreak worsens in DR Congo
The Ebola outbreak in the DRC continued to spread during October, with confirmed cases surpassing 10,000 and deaths approaching 5,000.
The WHO reported 10,274 confirmed cases and 4,992 deaths in the country as of 28 October.
The outbreak, which also affected other African countries, intensified concerns about cross-border transmission, surveillance capacity and regional preparedness.
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Health
EXCLUSIVE: Ebola: 34-year-old pilot, wife identified as suspected cases who tested negative in North-east Nigeria
Published
2 days agoon
November 1, 2026
A 34-year-old pilot and his wife, a medical doctor, were the two people investigated for suspected Ebola Virus Disease (EVD) in Adamawa State after developing symptoms including fever, vomiting, fatigue, headache, cough, bleeding gums and nosebleeds.
Although Nigerian officials said two suspected Ebola cases were being investigated in the state and eventually turned negative, their identities were not disclosed. PREMIUM TIMES can now disclose the officials’ identities, though we are redacting their names.
An internal memo from the Adamawa State Ministry of Health and Human Services, obtained exclusively by PREMIUM TIMES, said the couple were admitted to the isolation centre of the Modibbo Adama University Teaching Hospital (MAUTH), Yola, on 29 October.
The memo, dated 30 October 2026 and signed by the State Epidemiologist, Jones Kadabiyu, said the Adamawa State Public Health Emergency Operations Centre (PHEOC) received the report at 6:45 a.m. following a clinician’s report from MAUTH.
The development came as health authorities intensified surveillance following Nigeria’s confirmation of its first Ebola case in the current outbreak.
The Nigeria Centre for Disease Control and Prevention (NCDC) had on Saturday announced that two suspected Ebola cases had been identified in the North-east, but did not initially disclose the state where the cases were detected.
However, the agency later confirmed that the two suspected cases were in Adamawa, noting that the laboratory tests on samples from both individuals were negative for Ebola after two rounds of testing.
In a statement signed by its Director-General, Jide Idris, the NCDC said it was working with the Adamawa State government to investigate the suspected cases.
The agency said it isolated the two individuals and immediately activated public health measures while collecting samples for laboratory testing.
“Fortunately, the samples turned out negative for EBV after two rounds of testing,” Mr Idris said.
The NCDC said there is currently no laboratory-confirmed Ebola case in Adamawa State, adding that the previously confirmed case in the Federal Capital Territory (FCT) remains the only confirmed case in Nigeria.
What PREMIUM TIMES learnt
According to the memo, the pilot developed symptoms on 13 October, while his wife developed similar symptoms on 25 October.
The names of the two patients are contained in the documents seen by PREMIUM TIMES. However, this newspaper is withholding their identities to protect their privacy.
A preliminary report dated 31 October from Yola North Local Government Area (LGA), Adamawa State, said the pilot travelled to Kenya “for personal reasons” on 14 October and returned to Nigeria on 25 October. It said he had developed a fever before his trip and was treated for malaria.
“Prior to his departure, he reportedly developed a fever on 13 October 2026 and was treated for malaria. He reportedly remained well while in Kenya,” it noted.
However, upon returning to Yola, he developed symptoms including fever, nausea and vomiting, fatigue, headache, cough, bleeding gums and nosebleeds. His wife subsequently developed similar symptoms after caring for him at home.
They were both admitted at the MAUTH isolation centre.
The state health authorities collected samples from both patients on 30 October and transported them to the National Reference Laboratory for testing, according to the report.
Contacts traced
The memo report said 18 contacts had been identified, traced and line-listed, while the preliminary report dated 31 October put the number at 17.
The PHEOC also notified the State Rapid Response Team, the State NCDC office, Local Government Disease Surveillance and Notification Officers, the World Health Organisation (WHO) and UNICEF.
The state health authorities recommended continued contact tracing, infection prevention and control measures, enhanced surveillance and coordination with relevant authorities.
The NCDC has urged Nigerians to remain calm and avoid spreading unverified information.
It also advised people who develop symptoms such as fever, severe weakness, headache, muscle pain, vomiting, diarrhoea or unexplained bleeding, particularly after a relevant exposure, to seek immediate medical attention.
READ ALSO: Ebola: Saudi Arabia suspends travel to Kenya, halts visa issuance
Ebola outbreak
Nigeria is one of five countries that have detected Bundibugyo virus disease during the current outbreak, which began in the Democratic Republic of the Congo (DRC) in May.
The outbreak has remained concentrated in the DRC but has spread beyond the country.
Nigeria’s first confirmed case of Ebola in 2026 was a woman who travelled from Uganda to Abuja and tested positive on 20 October. She was subsequently medically evacuated to Switzerland for continued treatment.
The NCDC’s latest situation report said 62 contacts linked to Nigeria’s confirmed case had been identified and were being monitored.
The Coordinating Minister of Health and Social Welfare, Muhammad Pate, had said genomic analysis showed that the virus detected in the Nigerian patient was closely related to the strain identified in Kenya’s first imported case. He, however, said the finding did not establish that the Nigerian patient was infected in Kenya.
WHO’s latest update reported 10,274 confirmed cases and 4,992 deaths in the DRC as of 28 October. Kenya had recorded nine confirmed cases and two deaths, while Nigeria had one confirmed case at the time of the update.
Ebola is a viral disease that can cause severe illness and spreads mainly through direct contact with the blood or other body fluids of an infected person.
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