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Nigerian women and girls are disproportionately affected by Nigeria’s ineffective healthcare system. One reason for this is the prevalence of patriarchal norms that give men jurisdiction over women’s medical decisions. This is exacerbated by poverty, lack of education, and the resources required in order to visit medical facilities. The issue of transport is a serious one as it hinders women from accessing healthcare services.
While customs and norms regarding women’s health do vary when it comes to the northern and southern regions of Nigeria, one similarity that can be found is that girls and women are given less food relative to their male counterparts, they are expected to perform more labor domestically than their male counterparts, and their movement is more restricted than the boys and men in their household. Thus, the health problems that Nigerian women face, such as dealing with anemia, can be traced back to these norms that are prevalent throughout Nigeria.
As mentioned above, there are some variations when it comes to reproductive health and associated factors. One of those factors is marriage and pregnancy occurring at an early age for Nigerian women and this is more profound in the northern region of Nigeria, among Hausa communities. The North has a maternal mortality rate of 21 maternal deaths per 1000 pregnancies, which is higher in comparison to the country’s overall maternal mortality rate. Girls in Hausa communities may get married at the age of 11 and begin to have children a few years later which results in them developing health problems. Research reveals that if these girls engaged in sexual intercourse and childbearing at a later stage of life, then the high rates of carcinoma of the cervix among found among Hausa women would be brought down dramatically. Moreover, there are instances in which these pregnant girls are not physically large enough to give birth vaginally and this leads to cases of obstructed labor, which can have detrimental effects for the mother and the child if surgery is not performed. In addition, there is a custom in this region where the women are secluded in their homes and the men are in charge of escorting them to places outside the home. This materializes in the form of men making medical decisions for their wives and women giving birth at home with the help of a traditional birth attendant. Furthermore, Hausa women are subject to local and state rules that require them to seek permission from their husbands or bring their husbands along with them when going to acquire contraception. This puts their reproductive rights in the hands of their husbands.
A lot of these challenges stem from European colonization which imposed its own societal norms and customs upon Nigerians. Prior to colonization, Nigerian communities, such as the Igbo, saw women participating in politics. Colonization pushed these attitudes aside and sought to impose its own beliefs. Christian missionaries sought to replace Igbo religious and cultural practices which eventually hurt Nigerian women. The British did not give Igbo women any political legitimacy as they not only ignored the women, but they only ruled through and dealt with male authorities. In turn, this hindered the activity of female political bodies. The Native Ordinances Act of 1901 deemed only the Native Courts, which were established by the British, to be legitimate courts. The political system that had existed prior to the arrival of the British was being diminished. Furthermore, under this British administration, Nigerian boys were taught skills that would allow them to manage industries and work in the courts. They were also given access to Western education whereas the girls were confined to areas of study that the British thought were suited for women. However, Nigerian women were still politically active during this period. They rose against the British. Some key occurrences are the Women’s War of 1929, the 1929 Water Rate Demonstrations, and the Nwaobiala Movement in 1925. Despite this frustration, women still participated in this new political process even though the opportunities were very limited due to the beliefs of the British. Madam Okwei was the first Igbo women that participated in the new political system as she held a position within a Native Court.
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