Stakeholders seek review of reproductive health curriculum




Stakeholders in the health sector have advocated for a comprehensive  review of reproductive health curriculum in Nigerian Universities to include prevention and treatment. 


A renowned Professor of Obstetrics and Gynecology at the University of Benin, Friday Okonofua, disclosed this at the opening of a two-day workshop on reproductive health curriculum review on Monday in Abuja.


Okonofua said that the current curriculum focused majorly on treatment, a reason he said was responsible for high maternal deaths in country. 


He said there was the need to train medical students on how to prevent conditions that would lead to maternal death, hence the call for a comprehensive reproductive health education that focuse on preventive rather than curative practice. 


Okonofua, who led the African Centre of Excellence in Reproductive Health at UNIBEN, said the meeting was convened "because of the issues related to reproductive health which is the signs of reproduction that governs population, process of development, child birth. 


He commended NUC for recently coming up with the new Core Curriculum Minimum Academic Standards (CCMAS), for Universities, saying it was unfortunate that the issues of Sexual Reproductive Health Rights (SRHR), were almost neglected. 


"So, we want issues on right, social justice, gender and equity to be included in our curriculum, so that our students will have comprehensive exposure. 


"Today Nigeria is known to have the one of highest rate of maternal deaths - women who die during child birth in the world. 


"So, we are worried that most of the components that are currently on our reproductive health, surround the treatment of condition that leads to death rather than its prevention. 


"We believe that before a woman comes to the hospital, pains would have occured. And it is important that our training curriculum - undergraduate and post-graduate  are designed in such a way that students are made to be aware of the way to prevent these issues from reoccurring," he said.


Okonofua added that the current curriculum was not comprehensive enough as it was based mainly on treatment of conditions rather than prevention. 


"Secondly, most of the students are not taught the skills of prevention. And there are many examples we can show to indicate that it is as if doctors are waiting for somebody to be sick before they begin to apply treatment. 


"And they can be so sick that doctors may not be able to treat them. So it is always better to prevent them rather than treat them," he added.


In his presentation, a Medical Doctor, Ibrahim Abbas disclosed that a Nigerian woman dies needlessly as a result of unsafe illegal abortion every six minutes.


He noted that while Nigeria continued to lead the sub-region in adopting global and regional initiatives to address sexual and reproductive health (SRH) disease burden, the country still has some of the worst reproductive health (RH) indices in Africa. 


"With a total fertility rate 5.3 per cent Nigeria’s population is projected to hit 400million in 2050. 


"Lowest modern contraceptive prevalence rates in Africa at 17 per cent,  Maternal mortality ratio range from 576 to 814 deaths for every 100,000 live births. An estimated unintended pregnancy rate was 59 per 100 women aged 15-49 years. 


"Unsafe abortions account for roughly 5,000 maternal deaths every year in Nigeria, or on average, 14 maternal deaths each day," Abass said.


The meeting which was held at the headquarters of the National Universities Commission (NUC) Abuja, saw participants drawn from principal officers of medical schools, West African Post Graduate Medical College and Federal Ministry of Health.


Others are Medical and Dental Health Council of Nigeria, National Universities Commission as well as  undergraduate and post-graduate medical students.

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