A recent investigation by PUNCH Healthwise into Primary Healthcare Centres (PHCs) in Ogun State has uncovered a disturbing trend where health workers are demanding fuel or cash from expectant mothers before attending to them during childbirth. The findings further reveal that inadequate Power Supply in the state has compelled these workers to impose such demands, forcing pregnant women to provide fuel or pay exorbitant fees to ensure essential lighting and ventilation during delivery. In Obafemi Owode Local Government, three out of four medical centres visited by PUNCH Healthwise were found to require pregnant women to bring five litres of petrol or its monetary equivalent before delivery.
This demand is often sprung on women at the last minute, leaving them with little choice but to comply. Also, At Magboro Health Centre, Ibafo Health Centre, and Mowe PHC, women shared harrowing accounts of being compelled to provide fuel or cash, especially for nighttime deliveries or extended stays. One mother recounted how she was asked to pay for fuel after being admitted for delivery, while another revealed that the demand was only disclosed to her on the day of her delivery. Though unofficial and undocumented, these practices have become an open secret, further eroding trust in the healthcare system.
Some clinics use candles during childbirth as an alternative.
The absence of reliable Electricity has forced some healthcare facilities to use candles during childbirth. In some parts of the state, they discovered that some medical centres included candles and matches on their list of antenatal requirements. Tragically, the consequences of these power shortages have already claimed lives. In one instance, a woman who delivered under candlelight at a Lagos PHC suffered complications due to inadequate lighting during suturing. Therefore, Maternal Health experts warn that such incidents are likely more widespread than reported, as many cases go undocumented in Nigeria’s healthcare system.
While most centres struggle with power shortages, a few facilities have embraced Solar Energy as a sustainable solution. These facilities have reported improved conditions for patients and healthcare workers, demonstrating the potential of Renewable Energy to transform maternal healthcare. However, the adoption of solar power remains inconsistent across the country. Healthcare officials at Makun Primary Health Centre in Sagamu revealed that while they have solar-powered lights, they often depend on patients to provide fuel for the generator during nighttime deliveries.
Potential benefits of solar power to improve medical care.
Besides, the link between electricity access and maternal health outcomes cannot be overstated. With over 40 percent of Nigerian households relying on generators for electricity, healthcare facilities are no exception. Without adequate lighting, healthcare workers cannot perform essential procedures, such as repairing tears or managing complications during childbirth. The lack of ventilation and refrigeration further compounds the risks, increasing the likelihood of infections and other preventable conditions. Experts have called on the government to prioritise the installation of solar panels, inverters, and batteries in PHCs, particularly in rural areas.
They argue that such investments would improve maternal and neonatal survival rates and enhance the overall quality of healthcare delivery. Additionally, there is a need for greater accountability in managing resources, as reports suggest that some facilities misuse or neglect the equipment provided to them. Moreover, solar energy offers a compelling array of advantages for healthcare facilities. It translates to substantial cost savings by lessening dependence on traditional electricity grids, freeing up resources for enhanced patient care and cutting-edge medical technology.
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Critically, solar power ensures a consistent and dependable energy supply, vital for the seamless functioning of life-supporting equipment and lighting, particularly during grid failures or emergencies. Furthermore, it champions environmental responsibility by minimising carbon Emissions and Fossil Fuel consumption, fostering a healthier environment for all. In addition, adopting solar energy will boost a healthcare provider’s image, showcasing a dedication to Sustainability and social consciousness, which can resonate with patients and staff. Therefore, for a nation striving to achieve universal health coverage, ensuring reliable electricity in healthcare facilities is not just a matter of convenience.