By Bashir Bello
Centre for Human Rights & Civic Education, CHRICED, has moved to reverse and change narratives arising from cases of maternal mortality in Kano State.
CHRICED Director, Dr. Ibrahim M. Zikirullahi made this known while training some selected residents from Gwale and Kumbotso Local government areas of Kano State on how to monitor utilization and implementation of funds budgeted for maternal health in the state.
Zikirullahi said the training supported by Misereor-KZE of Germany, became imperative to ensure that the citizens were conscious of their rights and sufficiently equipped to monitor how the monies translate to quality maternal healthcare in order to prevent the needless maternal deaths.
According to him, “The CHRICED project of Social Mobilization for Transparency and Accountability in the Implementation of Maternal Health Resource Budgets in Kano State is a citizen-driven project with the goal of ensuring the big-budget figures allocated for healthcare in our dear state translate to quality maternal healthcare for people on the ground, especially in hard-to-reach rural areas.
“The logic of this project is about the desire to raise the collective consciousness of all citizens about their rights and responsibilities with respect to ensuring quality maternal care.
“In the course of our various outreaches in the past, CHRICED had always canvassed the idea that the right to quality and affordable healthcare is a matter, which is well addressed in the Constitution governing the Federal Republic of Nigeria. Specifically, Section 17 of the 1999 Constitution as amended focuses on the social objective of the Nigerian State, with the mandate that the social order is founded on the ideals of freedom, equality and justice. Part of the principle for the realisation of the ideal of justice would be found in Section 17(3) (c), which focuses on the role of the state in ensuring the health, safety and welfare of all persons in employment are safeguarded and not endangered or abused.
“This is closely followed by the express provisions in Section 17 (3) (d), which clearly points out that the State should work to bring about a social order where “there are adequate medical and health facilities for all persons. Agenda 2030, which outlines the Sustainable Development Goals (SDGs) puts forward certain key targets in the area of health, which remain relevant for measuring progress in the health sector in our state. Target 3.1 of the SDGs talks about reducing the global maternal mortality ratio to less than 70 per 100 000 live births by 2030. SDG target 3.2 is focused on ending preventable deaths of newborns and children under 5 years of age by 2030.
“At the global level, there is a lot of ongoing efforts by various countries with the aim of reducing neonatal mortality to at least as low as 12 per 1000 live births and under-5 mortalities to at least as low as 25 per 1000 live births.
“The point must however be made that these ambitious global targets will not be achieved if there is no commensurate effort at the local level. Nigeria’s dire maternal health indicators point to the fact that as stakeholders, citizen monitors in our respective communities have a lot of work do.
“The importance of this work, apart from its foundational basis in the Constitution, comes from the fact that there are now a number of sources from which monies are pouring into the health sector in Kano State. Apart from the budget, other sources of health funds pouring into the health sector, include; the National Health Insurance Scheme (NHIS), the Contributory Health Scheme, the Kano Health Trust Fund and even the Basic Health Provision Fund, among others.
“With such a quantum of financial resources coming into the health sector, your work as monitors is to know how well it is translating into quality maternal health services for the good people of Kano State. To continuously scrutinize the expenditure cycle to establish if maternal health funds are trickling down to the PHCs at the local level.
“Our target is that at the end of this activity, you would have been sufficiently equipped with the technical capacity required to engage in data-driven monitoring of how maternal health funds are utilised across our respective PHCs.
“As monitors, therefore, we must take this responsibility with a sense of commitment and dedication. Even if we are not conversant with the statistics, many of us have had one experience or the other where someone close to us, a mother, wife, sister, aunt or niece has died in the throes of childbirth.
“We must not forget that these efforts are meant to help our families, communities, state and country get rid of the scourge of maternal mortality,” Dr. Zikirullahi however noted.