They are faced with no functional hospital for decades, women in Lagos fishing slum transit between ill-equipped floating ‘hospital’ in the dirtiest of environments and far-flung government facilities that are always too crowded for comfort.

Daily, life in Makoko, a slum community wedged between the Lagos Lagoon and the mainland is a struggle to survive.
It is even more precarious for pregnant women, as the probability of surviving childbirth is very slim.
Pregnancy in this fishing and sand dredging community is a perilous experience that has ended in tears for many households.
According to Baale of Makoko Egun Community, Jeje Aide, high maternal deaths have been major experience in the underdeveloped suburban slum.
Almost every family in the community, he notes, has lost someone to pregnancy or childbirth-related causes.

For residents of Makoko, situated on Mainland Local Government Area, quality healthcare is a luxury they can’t afford, but have the belief they have a right to it.
With families crammed into shacks dangerously mounted on stilts amid filths, poverty walks on all fours in the place.
Despite financial barrier that limits their access to quality healthcare, they are forced to travel about eight kilometres on Lagos congested roads to get medical care when faced with childbirth emergencies.

Baale Aide notes that most times, life would have ebbed out of both mother and child before they get to any of the government-owned hospitals located outside their neglected communities.
With more than 70 per cent of Nigerians living on less than $1 per day, according to a World Bank data, ability to afford health care is near nil in this poverty-ridden community; even as the United Nations Children’s Fund has recently warned that about 6,800 more maternal deaths could occur in Nigeria in six months, considering how COVID-19 has disrupted healthcare service delivery.

“We are forced to travel quite a distance, especially with wooden canoe, variously to Island Maternity, Lagos Island Hospital, LUTH and LASUTH,” the Baale says.
He notes that the community does not have a functional vehicle or speed boat that can serve as an ambulance during an emergency.

‘Makoko women will continue to die during childbirth’

“Makoko women will continue to die during childbirth unless they can get to hospital in good time.
“You can imagine paddling for hours across the Lagos Lagoon with a woman in labour. “It has cost the lives of our women and babies,” he laments.
Aside being a community leader, Baale Aide prides himself as a traditional birth attendant and says his lineage is replete with them.
He boasts to have taken delivery of all his seven children without experiencing any complication.
The community leader says despite being a traditional birth attendant and having elderly women versed in the profession within Makoko, he sees professional ante-natal and post-natal care as vital.
“I am in my 70s and I had delivered all my seven children at home, using herbs.
“But now, things have changed due to weather and the type of food we eat. Several challenges come up during childbirth,” he says.

By Tessy Igomu



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