Global warming

Breaking Myths, Ending Stigma, and Acting Against Cervical Cancer

Cancer, Cultural practices in Africa, Female Genital Mutilation, Gender, Gender Based Violence, Gender Equality, Girl Education, Global warming, Health, Health Communication, Menstrual Health and Hygiene, Monday Health Burst, Reproductive Health, WHO, Women, Women Education, Women's Rights /

Cervical cancer is a major global health issue yet one of the most preventable forms of cancer. Almost all cervical cancer cases (about 99%) are linked to infection with high-risk human papillomaviruses (HPV), which are extremely common and transmitted through sexual contact. Persistent HPV infection can cause cervical cancer if left untreated, but early detection and prevention make this disease largely preventable. ¹

Despite this, myths and misinformation persist and contribute to stigma around cervical cancer screening and HPV. Studies show that many women feel shame, anxiety, and embarrassment when diagnosed with HPV or advised to get screened, often because HPV is incorrectly perceived as a sign of promiscuity or extreme risk. ² This stigma can deter women from seeking preventive care and early diagnosis, undermining efforts to reduce disease burden. ³

Globally, cervical cancer remains a leading cause of cancer deaths among women. In 2022, an estimated 660,000 new cases were diagnosed worldwide, with about 350,000 deaths many of which could be prevented through vaccination, regular screening, and early treatment. ¹ In Nigeria, cervical cancer is the second most common cancer among women and carries significant risk in the reproductive age group. ⁴

Despite proven benefits, uptake of cervical cancer screening and HPV vaccination remains low. Studies in Nigeria (2021–2023) show that fewer than 15% of adolescent girls have received the HPV vaccine and only about 10% of women have ever been screened, indicating slow progress compared to global targets.⁵ This low uptake is driven by limited awareness, misconceptions, stigma, and weak family or partner support, while reviews from 2022–2024 highlight persistent beliefs that screening is only for certain women or may cause harm, further discouraging participation.⁶

Myths about cervical cancer include beliefs that HPV always leads to cancer, that only women with symptoms should screen, or that screening itself causes harm. Evidence shows these are false HPV does not always cause cancer, early stages of disease often have no symptoms, and regular screening (Pap tests or HPV testing) is safe and effective in detecting abnormalities before they progress. ⁷

Stigma further compounds the problem. Surveys indicate that significant numbers of women experience emotional distress or feel ashamed after receiving abnormal screening results, which can delay follow-up care and discourage others from attending future screenings. ² Overcoming this stigma requires not just medical interventions but community education and open conversations about HPV and cervical health.

Acting against cervical cancer involves three key strategies: vaccination, screening, and treatment. The World Health Organization’s global strategy targets HPV vaccination of 90% of girls by age 15, screening 70% of eligible women twice in their lifetimes, and ensuring 90% of women with pre-cancer or invasive cancer receive appropriate care. ⁴ Countries such as Pakistan have demonstrated wide vaccination coverage, with campaigns reaching millions of girls despite resistance fueled by misinformation.

Breaking myths and ending stigma is essential to increase screening uptake and vaccine acceptance. Community education campaigns, trusted health messaging, and culturally sensitive outreach can help shift perceptions, build trust, and empower women to take preventive action. We urge communities, health workers, and families to actively support women in accessing screenings and vaccinations, speak openly about cervical health, and challenge harmful myths whenever they arise. When women understand the facts and feel supported rather than judged, lives can be saved, and the stigma that hinders progress can be dismantled.

References

  1. World Health Organization (WHO). Cervical cancer prevention, diagnosis, screening.
    https://www.who.int/cancer/prevention/diagnosis-screening/cervical-cancer/en/
  2. Sheena Meredith. HPV stigma leads to shame for women with diagnosis. Medscape.
    https://www.medscape.com/viewarticle/HPV-Stigma-Leads-Shame-Women-Diagnosis-2022a10004lc
  3. BMC Public Health. Barriers to cervical cancer screening in Africa.
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-17842-1
  4. WHO Africa. Cervical cancer early detection saves lives (Nigeria context).
    https://www.afro.who.int/countries/nigeria/news/cervical-cancer-early-detection-saves-lives
  5. BMC Women’s Health. Cervical cancer screening and HPV vaccination knowledge in Nigeria.
    https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-023-02345-9
  6. PubMed Central. Cervical cancer stigma—a silent barrier to elimination.
    https://pmc.ncbi.nlm.nih.gov/articles/PMC11869935/
  7. Thomson Medical. 9 common myths about cervical cancer debunked.
    https://www.thomsonmedical.com/blog/myths-about-cervical-cancer

 

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Screening Saves Lives: Why Early Detection Matters

Cancer, Community Development, Gender, Gender Based Violence, Gender Equality, Global warming, Health, Health Communication, Menstrual Health and Hygiene, Monday Health Burst, Reproductive Health, WHO, Women, Women Education, Women in Leadership, Women's Rights /

Health screening and early detection are critical tools in the fight against cervical cancer, one of the most preventable yet deadly cancers affecting women worldwide. Cervical cancer develops slowly and is often caused by persistent infection with high-risk types of the human papillomavirus (HPV). Screening allows precancerous changes and early-stage disease to be detected and treated before they progress into life-threatening cancer, significantly improving survival, reducing complications, and saving lives¹.

Early detection plays a decisive role in cervical cancer outcomes. When cervical cancer is identified at an early stage, the chances of successful treatment are very high. Evidence shows that women diagnosed with early-stage cervical cancer have a five-year survival rate of over 90%, compared to much lower survival rates when the disease is detected late². Regular screening methods such as Pap smears, HPV testing, and visual inspection with acetic acid (VIA) help identify abnormal cervical changes early, long before symptoms appear³. Countries with strong screening programs have recorded substantial declines in cervical cancer incidence and mortality, demonstrating the life-saving impact of early detection⁴.

Detecting cervical cancer early also reduces the severity and complexity of treatment. Early-stage disease can often be managed with simpler procedures that preserve fertility and reduce long-term health complications. In contrast, late diagnosis frequently requires extensive surgery, chemotherapy, or radiotherapy, which can lead to long-term physical, emotional, and financial strain for affected women and their families⁵. In many low- and middle-income settings, late presentation remains a major challenge, contributing to high cervical cancer mortality rates.

Screening for cervical cancer is also cost-effective. Preventing cancer through early detection and treatment of precancerous lesions costs far less than treating advanced cervical cancer. Investing in routine screening programs reduces hospital admissions, lowers healthcare expenditure, and improves productivity by keeping women healthy and active in their communities⁶.

Despite the proven benefits of screening, many women particularly those in underserved and rural communities still lack access to cervical cancer screening services. Barriers such as poverty, limited health facilities, stigma, low awareness, and fear of diagnosis contribute to low screening uptake and late detection. These gaps underscore the need for sustained public health efforts to expand access to affordable, acceptable, and community-based screening services⁷.

Screening saves lives, but only when women act. CFHI calls on women to prioritize regular cervical cancer screening, caregivers, and community leaders to support awareness and reduce stigma, and policymakers and partners to invest in accessible and sustainable screening programs. Early detection of cervical cancer is not just a medical intervention it is a powerful step toward protecting women’s health, dignity, and lives.

 

 

References

  1. World Health Organization (WHO). Cervical cancer – Key facts.
    https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
  2. American Cancer Society. Cervical Cancer Survival Rates.
    https://www.cancer.org/cancer/types/cervical-cancer/detection-diagnosis-staging/survival-rates.html
  3. World Health Organization (WHO). Comprehensive cervical cancer control: A guide to essential practice.
    https://www.who.int/publications/i/item/9789241548953
  4. International Agency for Research on Cancer (IARC). Impact of cervical cancer screening on incidence and mortality.
    https://www.iarc.who.int/research-groups/cancer-screening/
  5. National Cancer Institute. Cervical cancer treatment and outcomes.
    https://www.cancer.gov/types/cervical
  6. Centers for Disease Control and Prevention (CDC). Cervical cancer screening saves lives and reduces costs.
    https://www.cdc.gov/cancer/cervical/basic_info/screening.htm
  7. World Health Organization (WHO). Global strategy to accelerate the elimination of cervical cancer.
    https://www.who.int/initiatives/cervical-cancer-elimination-initiative

 

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Sexual Violence Against Women with Disabilities

Community Development, End FGM, Female Genital Mutilation, Gender, Gender Based Violence, Girl Education, Global warming, Health, Health Communication, Hygiene, Menstrual Health and Hygiene, Reproductive Health, Stop FGM, WHO, Women, Women Education, Women's Rights /

Sexual violence against women with disabilities is a deeply troubling yet often overlooked dimension of gender-based violence that intersects with ableism, discrimination, and social neglect. Evidence shows that women with disabilities face a significantly higher risk of sexual violence compared to women without disabilities, in part because of societal attitudes that devalue their autonomy and normalize their marginalization. Research indicates that women with any form of disability may experience sexual violence at roughly double the rate of women without disabilities over their lifetimes, with heightened vulnerability among those with multiple or cognitive disabilities [1]. In some settings, women with disabilities are disproportionately likely to be victims of rape and other forms of coerced sexual contact, underscoring the urgent need to recognize their specific risks and experiences as part of broader violence prevention efforts [2].

The vulnerability of women with disabilities to sexual violence is driven by multiple factors including dependency on caregivers or partners for daily needs, limited mobility or communication barriers, and pervasive myths that deny their sexual agency and rights. These conditions not only increase exposure to abuse but also make it harder for survivors to report violence or access support services due to fear, shame, or lack of accessible reporting mechanisms. Global research highlights that women with disabilities are more likely to face not only sexual violence but also emotional and physical abuse, with long-term impacts on physical and mental health, autonomy, and quality of life [3]. The Office of the United Nations High Commissioner for Human Rights has repeatedly called attention to the disproportionate risk of violence faced by women with disabilities and the necessity for better data, inclusive services, and tailored policies to protect their rights [4].

In Nigeria, too, gender-based violence is addressed under laws such as the Violence Against Persons (Prohibition) Act 2015, which aims to eliminate all forms of violence against individuals, including sexual violence. While such legal frameworks exist, enforcement, awareness, and protection for women with disabilities remain inconsistent, with many survivors still falling through gaps in reporting, healthcare, and justice systems [5]. It is therefore critical for policymakers, health systems, community leaders, and service providers to mainstream disability-inclusive approaches that recognize the intersecting vulnerabilities that these women face.

At the Centre for Family Health Initiative (CFHI), addressing violence against women especially among vulnerable populations like women with disabilities is integral to our community health work. CFHI integrates gender-based violence awareness and response into school and community engagements, ensuring that information on rights, reporting pathways, and support services reaches diverse audiences. Through partnerships with health facilities, community leaders, and referral networks, CFHI also supports safe and confidential reporting channels, linking survivors to medical care, psychosocial support, and legal aid where available. By advocating for inclusive prevention strategies and survivor-centred responses, CFHI reinforces that violence against women with disabilities is not inevitable it is preventable and must be confronted collectively.

Ending violence against women with disabilities requires an intersectional approach that dismantles harmful social norms, strengthens legal protections, and ensures that services are accessible and responsive to the unique needs of survivors. Education and awareness campaigns must challenge myths about disability and sexuality, while community-level prevention programmes should promote respect, consent, and equality for all women regardless of ability. Health workers, educators, and law enforcement must be trained to recognise and respond to sexual violence sensitively and without bias. Importantly, women with disabilities themselves should be engaged as leaders in advocating for change, ensuring that policies and interventions are shaped by their lived experiences.

The fight against sexual violence is not only a matter of law or policy it is a moral imperative rooted in human rights, dignity, and justice. As communities, governments, and organisations, we must commit to creating environments where vulnerable women anf girls can live free from the threat of violence, access support without barriers, and assert their rights with confidence and respect.

 

References

  1. Centers for Disease Control and Prevention. Sexual Violence and Intimate Partner Violence Among People with Disabilities. Available from: https://www.cdc.gov/sexual-violence/about/sexual-violence-and-intimate-partner-violence-among-people-with-disabilities.html (CDC)
  2. Z. C. et al. Sexual Violence Against Women With Disabilities: Experiences With Force and Lifetime Risk. American Journal of Preventive Medicine (lifetime risk higher among women with disabilities). (Reddit)
  3. Health and Socioeconomic Determinants of Abuse among Women with Disabilities. International Journal of Environmental Research and Public Health (higher prevalence and lower escape rates). (MDPI)
  4. World Health Organization. WHO calls for greater attention to violence against women with disabilities and older women. WHO. (World Health Organization)
  5. Violence Against Persons (Prohibition) Act 2015 (Nigeria). Available from: https://en.wikipedia.org/wiki/Violence_Against_Persons_%28Prohibition%29_Act_2015 (en.wikipedia.org

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Ensuring Health Services Reach Everyone

16DaysOfActivism, Community Development, Cultural practices in Africa, Gender Based Violence, Gender Equality, Girl Education, Global warming, Health Communication, Healthy Dieting, Mental Health, Monday Health Burst, WHO /

 

Ensuring that health services reach everyone remains one of the world’s most urgent development challenges, especially as global progress toward Universal Health Coverage (UHC) continues to slow. Worldwide, more than 4.6 billion people still lack access to essential health services, leaving millions at risk of preventable illness and financial hardship [1]. Although the global service coverage index has risen from the mid-50s in 2000 to around 71 in 2023, the gains remain uneven and fragile [2]. In Nigeria, persistent gaps in primary healthcare, maternal and newborn services, limited staffing, shortages of essential supplies and unreliable electricity continue to restrict access for many communities, particularly in rural and underserved areas [3,4].

Electricity is one of the most basic requirements for safe and functional health care. In many low-resource settings, including parts of Nigeria, frequent power interruptions limit the ability of facilities to conduct safe night-time deliveries, sterilize equipment, store vaccines, or run lifesaving laboratory tests. Evidence shows that roughly one-third to two-fifths of Nigeria’s primary health care centres still lack stable electricity, forcing some to rely on kerosene lamps, phone flashlights or fuel-powered generators that often fail when needed most [5,6]. Without reliable light and power, both mothers and newborns face heightened risks, and health workers struggle to provide the standard of care for which they are trained.

These structural challenges contribute to persistent health inequalities. Nigeria retains one of the highest maternal mortality ratios globally, despite substantial global declines since the early 2000s [2,7]. Skilled birth attendance an essential determinant of maternal and newborn survival has improved in some regions but still varies widely across northern states, where many young women remain unable to access skilled care at birth [4]. Preventive services such as immunisation have also fluctuated, with pandemic-related disruptions causing setbacks. Although recovery efforts are ongoing, routine immunisation coverage remains below global and regional benchmarks, leaving children in remote communities at disproportionate risk [3,8].

Nonetheless, evidence from recent interventions demonstrates that targeted, practical investments can quickly strengthen essential health services. Solar electrification of primary health care facilities, particularly through durable systems designed for maternal and emergency care, has been shown to improve night-time service delivery, stabilize cold-chain systems and increase overall service availability [6,9]. When paired with training and continuous supervision, such interventions support proper equipment use, routine maintenance and long-term sustainability an approach consistently endorsed by global health experts and backed by facility-level assessments [7]. Furthermore, integrating community engagement, leadership participation and strong referral mechanisms encourages service uptake and strengthens public trust.

To accelerate progress, policymakers, donors, and community leaders must prioritize primary healthcare revitalization, commit to electrifying facilities, invest in continuous staff training, and support service delivery models proven to work. Ensuring that health services reach everyone is both achievable and urgent. With collective action, equitable investment and strengthened partnerships, Nigeria can move closer to a future where every individual regardless of geography or socioeconomic status receives the essential care needed to live a healthy and dignified life.

 

References

  1. World Health Organization. Universal health coverage (UHC) fact sheet. 2024 [cited 2025 Dec 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-%28uhc%29
  2. World Bank. Tracking Universal Health Coverage — 2025 Global Monitoring Report. 2025 [cited 2025 Dec 12]. Available from: https://www.worldbank.org/en/topic/universalhealthcoverage/publication/2025-global-monitoring-report-gmr
  3. WHO. Nigeria Country Health Profile — Health System Performance, Immunisation & Primary Care Indicators. 2024 [cited 2025 Dec 12]. Available from: https://www.who.int/countries/nga
  4. Afape AO, et al. Prevalence and determinants of skilled birth attendance among young women in Northern Nigeria. 2024 [cited 2025 Dec 12]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389318/
  5. World Health Organization. Electricity in health-care facilities. 2023 [cited 2025 Dec 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/electricity-in-health-care-facilities
  6. Sustainable Energy for All. Powering primary healthcare in Nigeria. 2024 [cited 2025 Dec 12]. Available from: https://www.seforall.org
  7. World Bank. Maternal mortality ratio — Nigeria. 2024 [cited 2025 Dec 12]. Available from: https://data.worldbank.org/indicator/SH.STA.MMRT?locations=NG
  8. UNICEF. Immunisation data and analysis. 2024 [cited 2025 Dec 12]. Available from: https://data.unicef.org/topic/child-health/immunization/
  9. Nigeria Health Watch. Solar power solutions for primary healthcare centres. 2024 [cited 2025 Dec 12]. Available from: https://articles.nigeriahealthwatch.com/a-solar-power-project-is-keeping-primary-healthcare-centres-running-in-abuja/

 

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UHC Day 2025: Unaffordable health costs? We’re sick of it!

16DaysOfActivism, Breast Care, Cancer, Climate change, Community Development, Drugs, Events, Gender, Gender Equality, Global warming, Health, Health Communication, Healthy Dieting, Hygiene, Men, Men's Health, Mental Health, WHO, Women, Women Education, Women's Rights /

Universal Health Coverage (UHC) Day is a global reminder that access to quality health care is a fundamental right, not a privilege reserved for the wealthy. This year’s theme, “Unaffordable health costs? We’re sick of it!”, speaks directly to one of the biggest barriers facing millions of Nigerians: skyrocketing healthcare costs and the widening gap between health needs and the ability to pay.

While achieving UHC requires multisectoral commitment, one of the most critical systems needed to bridge this gap is health insurance, an essential mechanism designed to protect individuals from financial hardship, ensure continuity of care, and promote equitable access to essential services. Yet, despite the existence of the National Health Insurance Authority (NHIA) and state-level schemes, enrolment remains abysmally low. Out-of-pocket payments still account for over 76% of total health spending in Nigeria, pushing millions deeper into poverty every year.

Health insurance providers cannot succeed alone; they face chronic underfunding, limited subsidies, weak enforcement, and low public awareness. Sustainable progress requires stronger government leadership, increased premium subsidies for the poor, upgraded health facilities, and digital systems that make enrolment seamless.

Yet progress is possible, and CFHI is proving it every day.

Through relentless community mobilization and strategic partnerships with philanthropists like Satoshi Koiso and development partners such as the Institute of Human Virology Nigeria (IHVN), CFHI has successfully enrolled 224 vulnerable individuals into NHIA-supported health coverage this year alone.

These are not just numbers.

They are mothers who no longer skip medication.

They are children who can see a doctor without their parents selling assets.

They are families now protected from choosing between medicine and food.

Health insurance must be affordable, accessible, and functional for every Nigerian. It is not just a policy tool; it is a lifeline that protects households from falling into poverty and guarantees timely care, especially for vulnerable groups.

On UHC Day 2025, our message is unequivocal:

No Nigerian should be denied quality care because they cannot afford it.

We call on federal and state governments to:

  • Fully subsidize premiums for low-income and vulnerable households
  • Strengthen primary health care facilities that deliver insured services
  • Enforce mandatory coverage and streamline digital enrolment

It is time to end the era of unaffordable health costs.

Health care is a right for every Nigerian, irrespective of socio-economic status.

Together, we can make “We’re sick of it” a rallying cry that finally delivers results.

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SPEAK WEDNESDAY

16DaysOfActivism, Gender, Gender Based Violence, Gender Equality, Girl Education, Global warming, Health, Speak Wednesday, WHO /

“NO Means NO”

Today, the simple word “No” still struggles to carry the weight it deserves. For many young people, especially girls and young women, saying “no” can come with fear, pressure, or misunderstanding. Yet, “no” should be enough. It is a complete sentence one that should be heard, respected, and never questioned. As we continue to raise awareness around gender equality and safety, understanding the true meaning of consent and personal boundaries becomes essential for building a healthy society.

Consent is more than just permission; it is about respect, autonomy, and communication. It means that every person has the right to decide what happens to their body, their time, and their emotions. Consent must be freely given, not forced, tricked, or coerced. It cannot be assumed from silence or past behaviour, and it can be withdrawn at any time. In relationships, friendships, or social settings, learning to respect a person’s “no” whether spoken or unspoken reflects maturity and integrity.

Unfortunately, the statistics around consent violations remain alarming. According to the World Health Organization (WHO), nearly one in three women globally has experienced physical or sexual violence in her lifetime, most often at the hands of an intimate partner 1. In Nigeria, the National Bureau of Statistics (NBS) reports that many incidents of sexual or domestic violence are never reported, often due to fear of stigma, shame, or disbelief 2. These figures highlight how deeply ingrained gender norms and societal silence can make it difficult for survivors to speak out and for young people to learn what healthy respect truly looks like.

For young girls, learning to say “no” and knowing that it must be respected is an important part of personal development and self-protection. Saying “no” is valid when faced with peer pressure to engage in sexual activity, when uncomfortable with unwanted touching, or when asked to share private information or photos online. “No” is equally powerful in social and emotional spaces: refusing manipulative statements like “If you love me, you’ll do it,” or declining invitations that compromise one’s comfort or safety. Every young person must understand that their voice matters, and their boundaries define who they are.

Equally important is educating boys and young men about consent, empathy, and accountability. True respect means not only hearing “no” but also actively seeking a clear and enthusiastic “yes.” It means understanding that real strength lies in restraint, understanding, and kindness not in control or pressure. When communities, schools, and families foster open conversations about respect and consent, they equip young people with the values needed to build relationships rooted in trust and equality.

Through our gender norms interventions, CFHI empowers young people with knowledge and confidence to challenge and transform harmful gender norms (especially those that disadvantage women and girls) while protecting respect, equality and fairness. Each adolescent club activity, school campaign, and community outreach brings us closer to a society where consent is understood, respected, and upheld where “NO” truly means “NO.

Speak Wednesday is an initiative of CFHI to address issues around gender-base violence and gender-bias.

 

References

  1. World Health Organization. Violence Against Women: Key Facts. WHO, 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women
  2. National Bureau of Statistics. National Survey on Domestic and Sexual Violence in Nigeria. Abuja: NBS; 2022. Available from: https://nigerianstat.gov.ng/elibrary/read/1241055

 

 

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MONDAY HEALTH BURST

16DaysOfActivism, Anxiety Disorder, Attention Deficit, Community Development, Diabetes, Diabetes Awareness and Care, Global warming, Health, Health Communication, Healthy Dieting, Men's Health, Monday Health Burst /

Early Detection and Lifestyle Choices Against Diabetes

Diabetes has become one of the fastest-growing health challenges globally, claiming millions of lives and affecting countless families. According to the World Health Organization (WHO), more than 537 million adults are living with diabetes, and that number is projected to rise to 643 million by 2030. The International Diabetes Federation (IDF) also notes that one in ten adults currently lives with diabetes, and nearly half are undiagnosed meaning millions are silently living with the condition without receiving the care they need [1,2].

Early detection is a vital weapon in the fight against diabetes. Type 2 diabetes, which accounts for around 90% of all cases, often develops gradually, showing little or no symptoms until complications such as heart disease, kidney failure, or vision loss have already set in. Detecting the disease early allows for timely medical intervention, lifestyle modification, and proper management, which significantly reduces the risk of complications and improves long-term outcomes. Studies have shown that early diagnosis and treatment of diabetes reduce cardiovascular and renal complications and lower overall mortality rates [3].

One of the most remarkable pieces of evidence for prevention comes from the Diabetes Prevention Program (DPP), a landmark study in the United States. The research found that participants who adopted healthier diets, engaged in moderate physical activity for about 150 minutes per week, and achieved modest weight loss reduced their risk of developing diabetes by 58% compared to those who did not make lifestyle changes [4]. This clearly shows that lifestyle choices particularly nutrition, exercise, and maintaining a healthy body weight play a powerful role in preventing or delaying diabetes.

Healthy living begins with awareness. Regular screening for blood glucose levels, blood pressure, and weight helps individuals know their risk status early. The Centers for Disease Control and Prevention (CDC) recommends that adults aged 35 and above, or younger people with risk factors such as obesity, family history of diabetes, or sedentary lifestyle, undergo regular diabetes screening [5]. Screenings should not stop at diagnosis; they should be paired with counseling, education, and access to proper care for effective management. The World Health Organization stresses that integrated care, including screening and education, remains essential for effective diabetes control [6].

In Nigeria, diabetes continues to pose significant public health challenges, driven by persistent rise in medication costs7, limited awareness, unhealthy diets, and rapid urban lifestyle changes. Recognizing this, the Centre for Family Health Initiative (CFHI) has consistently raised awareness about diabetes prevention and care. Through its Diabetes Awareness and Care (DAC) project in Imo state, CFHI has conducted free diabetes screening for over 36,000 persons, alongside health education sessions and outreach campaigns reaching about half a million individuals to encourage early testing and lifestyle change. These community-based interventions mirror global best practices, showing that education and early detection can help prevent diabetes and its complications before they start.

Ultimately, combating diabetes requires a joint effort from individuals, communities, health systems, and the government. While early detection helps identify risks, lifestyle choices, healthy eating, regular exercise, and avoiding harmful habits remain the cornerstone of prevention. As CFHI continues to promote healthier communities through advocacy, education, and screening programs, the message remains clear: diabetes can be managed and even prevented when detected early and addressed with healthy lifestyle choices.

As the world marks World Diabetes Day 2025 under the theme “Empowering Lives Through Early Detection and Access to Care”, it is a timely reminder that diabetes prevention starts with awareness and action. CFHI joins the global community in calling for affordable access to care, increased access to screening opportunities, education, and quality healthcare services for all. Together, we can build a future where early detection saves lives, and healthy lifestyle choices protect generations from the silent burden of diabetes.

 

 

References

  1. World Health Organization. Diabetes. Geneva: WHO; 2024. Available from: https://www.who.int/health-topics/diabetes
  2. International Diabetes Federation. IDF Diabetes Atlas. Brussels: IDF; 2024. Available from: https://diabetesatlas.org
  3. Herman WH, Ye W, Griffin SJ, et al. Early detection and treatment of type 2 diabetes reduce cardiovascular morbidity and mortality: simulation and trial evidence. Diabetes Care. 2015;38(8):1449–1455. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512138/
  4. Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa012512
  5. Centers for Disease Control and Prevention. Diabetes Screening: Who Should Get Tested and When. CDC; 2024. Available from: https://www.cdc.gov/diabetes/data-research/research/diabetes-screening-eligible.html
  6. World Health Organization. World Diabetes Day: Prevention and Early Detection of Diabetes. WHO; 2024. Available from: https://www.who.int/news-room/events/detail/2024/11/14/default-calendar/world-diabetes-day-2024
  7. Punch Health Wise. Diabetes patients lament as cost of medications rises from N70,000 to N180,000. Available from: (NAN, 2024)

 

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MONDAY HEALTH BURST

Climate change, Global warming, Health, Hygiene, Sanitation, WHO /

IMPACT OF CLIMATE CHANGE ON HUMAN HEALTH

Changes in the overall climate of the planet cannot be over-emphasized. Continuous rise in temperature of the planet is becoming alarming and the root cause is Global warming. Fossil fuels are being continuously used to produce electricity. The burning of these fuels produces gases like carbon dioxide, methane and nitrous oxides which lead to global warming. Also, deforestation leads to warmer temperatures, hence, the hazard of global warming is continuously causing major damage to the Earth’s environment.

According to the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (AR5) in 2014, the net warming from 1850 to the end of the 20th century was equivalent to nearly 2.5 W/m2 with carbon dioxide contribution about 60% to this figure, methane about 25%, with nitrous oxides and halo-carbons providing the remainder. The major cause of global warming is the greenhouse gases. They include carbon dioxide, methane, nitrous oxides and in some cases chlorine and bromine containing compounds. The build-up of these gases in the atmosphere changes the radiative equilibrium in the atmosphere. The overall effect is to warm the Earth’s surface and the lower atmosphere because greenhouse gases absorb some of the outgoing radiation of Earth and re-radiate it back towards the surface.

Another major cause of global warming is the depletion of ozone layer. This happens mainly due to the presence of chlorine-containing source gases. When ultraviolet light is present, these gases dissociate releasing chlorine atoms which then catalyzes ozone destruction. Many industrial processes produce a wide diversity of aerosols depending on what is being burned or generated in the manufacturing process. These aerosols in the atmosphere also cause global warming by changing the climate in two ways. Firstly, they scatter and absorb solar and infrared radiation and hereby warming the air directly. Secondly, they may alter the micro-physical and chemical properties of clouds and perhaps affect their lifetime and extent.

Effects of climate changes could be very hazardous to human health. Some effects includes; Air pollution and airborne allergens to likely increase, worsening allergy and asthma conditions; climate change including rising temperatures and changes in weather extremes. This will increase health risks and require greater vigilance in food safety practices and regulation because of the exposure of food to certain pathogens and toxins; extreme weather and other events related to climate change will impact health by exacerbating underlying medical conditions like food-borne and waterborne illnesses, and disrupting infrastructures that are essential to maintaining access to health care and emergency response services. Also, climate-related exposures may lead to adverse pregnancy and newborn health outcomes, including low birth weight, preterm birth, dehydration and associated renal failure, diarrhea, and respiratory disease.

Climate action meaning stepped-up efforts to reduce greenhouse gas emissions and strengthen resilience and adaptive capacity to climate-induced impacts is necessary to combat climate change. The most significant solution to put an end to this disaster is the use of alternative energy sources. They include wind, solar, bio mass, geothermal and hydro. The most noteworthy point in using these sources is their clean nature. These sources do not produce any sort of pollution or toxic gases that can lead to global warming. They are friendly to the environment and pose no threat to ecological balance.

Monday Health Burst is an initiative of Centre for Family Health Initiative (CFHI) to tackle issues of basic health concerns. Join us every Monday for more health related articles on all our social media platforms.

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