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IDPs: How Dearth of Accessible Healthcare Facility Threatens Thousands of Lives

Israel Olatunji Tijani writes about how the dearth of accessible healthcare facility threatens thousands of lives, especially those at the Internally Displaces Persons (IDPs) camps.



Internally displaced persons - IDPs in Nigeria - Photo by UNICEF
© UNICEF/NYHQ2015-2030/Esiebo A child walks between rows of tent shelters in the UNICEF-supported Dalori camp for internally displaced people, in the north-eastern city of Maiduguri, Nigeria.

While young Nigerian men and women are living their dreams, smashing career goals and coming up with technological innovations from the comforts of their homes, there are thousands of others who have been forced out of the places they called home by mindless conflicts that continue to threaten their existence.

Five thousand, seven hundred and seventy-six (5,776) internally displaced people (IDPs) from 897 households, from Borno, Yobe and Adamawa state occupied 2,000 units of houses at Abundance Resettlement in Wassa district, Apo Area, Abuja. After fleeing the decade-long insurgency ravaging Nigeria’s North-East.

IDPs – the map

I was received into the community along with my team at about 9 am by Geoffrey Bitrus, a 42-year old farmer who has been displaced since 2014.

Bitrus, originally from Gwoza Local Government of Borno State, gave insight on health challenges women and children are facing in the community.

Residents of Abundance Resettlement rely solely on patent medicine stores popularly known as chemist stores for their healthcare. Ruth Paul, a 25-year-old fashion designer said she lost her daughter in April 2021 because she did not immediately have access to quality healthcare. 

“She stopped eating and I took her to the chemist, but it only got worse and I was referred to a hospital in Apo and later to another one in the city where she finally died,” an emotional Paul said.

Geoffrey narrated how a  young girl in the community died recently because of the same problem. Ruth, the mother of the girl, is married.

She speaks only Hausa and her husband is a commercial motorcycle rider popularly known as “okada” in farway lagos. She has been living alone on her own with their newly born 2-year old girl.

“On this day just like every other day, I came back from the farm, since the only source of energy for cooking here in the camp is firewood, I do go to the farm in the morning to get firewood.

“On that evening after we returned, I gave her food and she refused to eat. I observed her body is hot and I bathed her with cold water. The high temperature persisted and it only got worse as she became very weak. The next day I took her to the chemist on the opposite side of the road where I purchased some drugs she prescribed. I forced food down her throat since she refused but she will need to swallow the drugs prescribed for her. Few hours later around 2pm in the afternoon, she vomited and she was extremely weak at this point.

“I rushed her to the chemist who later told me to take her to one hospital along Apo road. Getting to the hospital she was admitted and examined. But instead of her health  to improve the case was just the opposite. Later the hospital discharged us and referred us to another big hospital in Abuja Central District.

A section of the IDPs location

“When we got there, they asked us to make an initial deposit which I could not afford before treatment could commence. We were just in the hospital unattended to. Few hours after getting to the hospital she became unconscious and the doctor and nurses could not bring her back. Few minutes later they told me my daughter was dead.”

Ruth is a very industrious young lady, she is a fashion designer, a skill she acquired before her village was invaded by Boko Haram terrorists five years ago.

She has been supporting herself and her young child before her demise with the proceeds from sewing for the community.

The same fate as Ruth awaits the rest of the women in the community. Here is another woman who is pregnant and will be delivering her child at home with support from women in the camp.

There is no telling whether she will have a safe delivery and her newborn in good hands in the absence of reliable healthcare facility.

The numbers

The absence of an accessible healthcare facility exposes the people of Abundance Resettlement to great health challenge.

There is no better time than now to be their voice by telling their stories, bridging the gap between them and government intervention.

In 2021, the Nigerian refugee crisis will be going into its seventh year. Since violent attacks of the Islamist group Boko Haram started to spill over Nigeria’s north-eastern frontier in 2014, Cameroon, Chad and Niger have been drawn into what has become a devastating regional conflict.

To date, the North-Eastern part of Nigeria accounts for over 2.9 million internally displaced persons (IDPs), the largest in Sub-Saharan Africa and the third largest globally. If IDPs were a Nigerian State, they would be the 20th most populous state in Nigeria ahead of Kogi, Zamfara, Enugu, Kebbi States and Abuja’s Federal Capital Territory (FCT).

This crisis has been exacerbated by conflict-induced food insecurity and severe malnutrition, which have risen to critical levels in Nigeria.

The challenges of protecting the displaced are compounded by the deteriorating security situation as well as socio-economic fragility, with communities in the conflict zones facing chronic poverty, a harsh climatic conditions, recurrent epidemics, poor infrastructure and limited access to basic health services.

In 1985, Professor Olukoye Ransome-Kuti was appointed the Minister of  Health and adopted Primary Health Care (PHC) in 52 local government areas as model based on the Alma Ata Declaration of 1978.


In 1992, the National Primary Health Care Development Agency was established to ensure that the PHC agenda is Continued and sustained. Today, Nigeria has 28,276 public PHCs across 774 LGAs and FCT.

However, only 20% of these PHC facilities are functional. Studies have shown that health systems based on strong PHC improve the management of NCDs, reduce mortality from NCDs, reduce infant and under five mortality, reduce maternal mortality and increase life expectancy at birth.

Internally displaced persons

However, forty three years after the declaration, Nigeria remains the second largest contributor to the maternal and child mortality globally, losing estimated 2,300 children and 145 women everyday.

Recall, On Thursday, December 30, President Muhammadu Buhari, signed the N17.16 trillion appropriation bill for 2022 into law. A sectoral breakdown of the budget indicated that N821.4 billion (5 percent) was allocated for healthcare across the 36 states of the federation including the Federal Capital Territory.  

This fractional proportion shows this administration has once again failed to meet its Abuja Declaration commitment which requires the nation to ensure that 15 percent of its annual budgetary allocation goes to the health sector.

To appropriate a paltry 5 percent of the budget to the entire country’s health sector to carter for over 200 million people at a time the nation is facing numerous health challenges such as the COVID-19 pandemic, cholera, malaria and other infections is a sad commentary not just on the state of the health sector, but also on how the Federal Government view the needs of the sector.

Using a per capita breakdown, it shows that only N3,987.38 was allocated to each citizen based on the current estimated population of about 206 million.

This amount sadly is not enough to cover the cost of common ailments like malaria or typhoid. It must equally be emphasised that allocating such a meager amount to the sector explains the premium placed on human lives by this administration.

The situation at Internally displaced persons camps

“The Federal Capital Territory will spend N64,861,604,695.00 for its 2022 National Priority Projects says FCT minister Mohammed Bello with no clear amount earmarked for the health sector. Some of these priority projects include the installation of solar street lights along various roads in the satellite towns; provision of roads, water and electricity supplies to the resettlement site of Galuwyi Shere (Phase II),” stated Mr Bello. “Rehabilitation and upgrading of street lighting facilities within the FCC; Design/ construction of a dam, treatment plant, tanks and other bulk water supply infrastructure to Karshi; Abuja Light Rail Transit Phase II Addendum 1-2 (2) and the rehabilitation of federal government buildings, amongst others”.

The Greater Abuja Water supply project, he said, was a bilateral initiative to enhance water supply in the FCT, and its implementation would extend the supply of potable water to 33 districts covering Gwarimpa, one and two Utako, Dutse, Gudu Kaura, Wuye, Mabushi, Jahi, Kado, Karmo, Lokogoma, Kabusa, Dape, amongst others.

*This story was supported by the Africa Data Hub Community Journalism Fellowship.



  1. Anonymous

    28 July 2022 at 6:08 PM

    Wow! This is an eye opening to what majority are facing that we don’t know.I love the analysis between the health budget and national assembly budget. Thanks

  2. Pingback: Healthy Life Expectancy in Africa Rises by Almost Ten Years, according to WHO Report - News Curators

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