Nigerian politician and public health physician
Adenike Grange is a paediatrician, professor, consultant, author and former Nigerian Minister in charge of the Federal Ministry of Health.
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Thus, critical social indices must be measured regularly and put on the same scale as the economic indices so that the true balance can be revealed. Government, NGOs and the private sector must work together in order to give the needed support for the achievement of appropriate economic and social objectives through the application of appropriate strategies.
This means that social developmental indices such as the number of children per family, the number of children receiving uninterrupted schooling for a minimum period of 10 years, the number of children who have access to basic education and health care and the numbers whose inalienable rights are protected, which are intermediate indicators of maternal and child mortality rates are just as important as the indicators that measure our Gross Domestic Product (GDP) and Gross National Income (GNI).
They must be protected from physical, mental, sexual and other forms of abuse such as child trafficking and subjugation to hazardous labour. A child’s first few years are critical not only for survival, but for her or his optimal physical, intellectual and emotional development. Therefore, deprivations especially during this period greatly hamper children’s ability to achieve their full potential thus contributing to a society’s cycle of endless poverty, hunger and violence.
Although, in a democracy, relationships between consenting adults are based on personal choices, these choices are not acceptable when the relationship has to do with a minor who has not reached the age of consent. In such instances, all guardians of democracy must protect the rights of these children and others who, though they are adults, are also vulnerable by reason of retardation in their level of physical, mental or social circumstances.
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Many of the children of these ‘child mothers’ also succumb to malnutrition and preventable childhood diseases. These conditions in many cases lead to physical or mental retardation. Exposure to HIV/AIDS may further complicate the situation. Many societies have their own practices that have enjoyed wide social acceptance for many generations.
In many instances, these child brides are not physically, mentally and emotionally mature for childbearing and child nurturing, hence several of those who had consummation of their marriages as children die or become disabled during child birth. The commonest of such disabilities is vesico-vaginal fistula (VVF) which means that the abnormal passage which has been created between the bladder and the vagina leads to uncontrollable leakage of urine from the victim.
Unfortunately, the current participation of young mothers as co-breadwinners has often led to the restriction of the time devoted to what is usually considered as their primary responsibility. This calls for greater flexibility in task sharing between couples especially in parenting. Of course, in polygamous relationships the arrangements could be even more complex. Whatever be the case, the Convention on the Rights of the Child to which Nigeria is a signatory stipulates that the welfare of the child must be the first consideration and decisions taken at all levels must be in the best interest of the child.
Usually, the immediate caregivers of children are their mothers and it has been shown that the survival of children is dependent on the survival of their mothers who in turn has the major responsibility for ensuring that family practices do not jeopardize the survival of the breadwinner and other members of the family.
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