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Systemic Barriers to Eliminating GBV in Nigeria

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  1. Weak Legal Frameworks and Poor Enforcement

Gender-based violence (GBV) in Nigeria is not only a symptom of individual wrongdoing it is a structural problem rooted in weak laws, uneven adoption of protections, and chronically poor enforcement. To end GBV we must look beyond individual cases and address how laws, institutions and social systems consistently fail survivors.

At the federal level, Nigeria enacted the Violence Against Persons (Prohibition) Act (VAPP), 2015, a comprehensive law criminalizing many forms of GBV. Yet the VAPP is a federal law that must be domesticated (adopted) by state legislatures to take full effect in most states. Domestication has been inconsistent and slow: as recently as 2022–2023 different trackers and reports showed wide variation across states in adoption and implementation of VAPP-style protections. The patchwork adoption means many survivors still lack access to the full.

Even where anti-GBV laws exist, legal gaps remain. Some forms of abuse most notably marital rape are still not uniformly criminalized or enforced across Nigeria. Customary and religious legal systems in many communities treat marital relations as private and beyond criminal law, which results in survivors being denied legal redress. Research and rights reports document how legal definitions, exceptions, and cultural exclusions leave key protections unenforced or unavailable to many women and girls. (Human Rights Watch)

A law on the books means little if enforcement agencies are under-resourced, untrained, or indifferent. Investigations and prosecutions for GBV face multiple obstacles: victims face hostile or dismissive police responses, evidence is poorly collected or stored, and prosecution is slow or lacking. Human rights organizations have repeatedly documented cases in which survivors are shamed, blamed, or pressured to withdraw complaints outcomes that deter reporting and allow perpetrators to act with impunity. (Human Rights Watch)

“Survivors’ experiences show how enforcement failures deepen the harm. Human Rights Watch reported that a lawyer who helped a rape survivor in Enugu was herself assaulted after filing the complaint, exposing hostile treatment by police toward survivors and their advocates. Such incidents discourage reporting and let perpetrators act with near impunity.” (Human Rights Watch, Feb 6, 2020). Human Rights Watch

Effective GBV response requires functioning social services: emergency shelters, forensic and medical support, trauma counselling, and legal aid. In Nigeria these services are often underfunded, unevenly distributed, or run by civil society with precarious support. The result: even survivors who do report rarely receive the wraparound care needed for justice and recovery. Multilateral surveys during the COVID era showed the pandemic worsened women’s safety and access to services an acute example of how weak systems fail under stress.

Official statistics dramatically undercount GBV. Survivors often do not report abuse because they distrust institutions, fear stigma, or lack knowledge of legal options. In turn, poor data collection and fragmented record-keeping between police, health services and civil society hide patterns of violence and make evidence-based policy difficult. The lack of a centralized, trusted data system contributes to weak policy responses. (Human Rights Watch)

Civil society monitoring and journalistic investigations reveal spikes in femicide and intimate partner killings, prompting activists to call for emergency measures. These tragic outcomes are the predictable endgame of weak laws, poor enforcement, and under-resourced prevention and protection systems. Public outrage reflects not only grief but the recognition that structural failures make homes and communities unsafe for many women and girls. (The Guardian)

Reports by national and international organizations converge on several priorities:

  • Full domestication of VAPP-style laws in all states and harmonization with customary/religious systems to ensure survivors’ rights everywhere. (wfd.org)
  • Clear criminalization of all forms of GBV including marital rape and other forms often excluded by law. (Human Rights Watch)
  • Police and judicial reform, including specialized GBV units, survivor-sensitive investigation protocols, and fast-track prosecution for sexual and domestic violence. (Human Rights Watch)
  • Investment in survivor services medical forensic care, psychosocial support, shelters, and legal aid with sustainable public funding and coordination with civil society. (Amnesty International)
  • Robust data systems that unify reporting from police, health facilities and NGOs to produce reliable prevalence and response metrics. (UN Women Data Hub)

Nigeria’s VAPP Act and other legal instruments are important steps, but legal texts without consistent, rights-based enforcement become symbolic rather than transformative.

 

Bibliography

  • Partners Nigeria — VAPP Tracker (domestication status across states). (partnersnigeria.org)
  • WFD: Impact of the VAPP and related laws in 12 states (2023). (wfd.org)
  • Human Rights Watch — Violence against women pervasive in Nigeria (2019). (Human Rights Watch)
  • UN Women / Measuring the Shadow Pandemic: Violence against women during COVID-19 in Nigeria (2021). (UN Women Data Hub)
  • Amnesty International — Nigeria reports on rights and GBV (2021/2023 reports). (Amnesty International)
  • The Guardian — Activists call for state of emergency over GBV in Nigeria (Feb 2025). (The Guardian)

 

TO BE CONTINUED…WATCH OUT FOR

NO 2 BARRIER

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SPEAK WEDNESDAY

Gender, Gender Based Violence, Gender Equality, Speak Wednesday, Women, Women's Rights /

Safe Spaces, Safe Girls

Every girl deserves to feel safe at home, in school, online, and within her community. Yet, for many adolescent girls, safety is not always guaranteed. From bullying and harassment to harmful gender norms and abuse, too many young girls are forced to grow up in environments that threaten their confidence, education, and dreams.

Safe spaces are not just physical places; they are environments where girls can freely express themselves, learn, share experiences, and access guidance without fear of judgment or harm. They are spaces where girls’ voices are heard, their ideas are valued, and their rights are respected.

When girls feel safe, they thrive, they speak up, lead, innovate. But when fear replaces safety, silence grows and with silence comes vulnerability. According to the United Nations, https://www.un.org/en/observances/ending-violence-against-women-day one in three women worldwide experiences physical or sexual violence in her lifetime, much of which begins during adolescence. Unsafe spaces often normalize this violence, teaching young girls that their safety and dignity can be negotiated; but they cannot.

Why Safe Spaces Matter

Safe spaces help girls:

  • Build self-esteem and confidence through open conversations and mentorship.
  • Access accurate health information, including sexual and reproductive health education.
  • Develop leadership skills that empower them to challenge stereotypes and discrimination.
  • Find support networks to overcome trauma, bullying, and gender-based violence.

Beyond protection from physical harm, girls also need safety in the digital world; shielding them from cyberbullying, online exploitation, and exposure to harmful content. As the digital world becomes a second home for adolescents, creating safe online communities is just as important as protecting physical spaces.

Parents, guardians, teachers, and instructors play a vital role in shaping the safety and confidence of young girls. They must create nurturing environments that make girls feel protected, valued, and always heard.

Adults should provide constant reassurance, letting girls know they are not alone in their challenges. They should encourage them to brace up against the trials of adolescence, reminding them that every challenge is part of growth. Girls should be motivated to stay focused on their goals, believe in their dreams, and never let temporary setbacks define their worth.

When caregivers listen with empathy and guide with love, they give girls the courage to rise above fear, pressure, or self-doubt; building strong, confident women who will lead tomorrow.

 

Through our gender norms transformation programs, school and community outreaches, and Gender-Based Violence (GBV) prevention campaigns, CFHI continues to educate adolescents and their caregivers on creating supportive, respectful, and inclusive environments. We work to ensure that every girl has access to information, mentorship, and opportunities that build resilience and confidence.

To every adolescent girl reading this: your voice matters. You have the right to safety, respect, and dignity. Speak up when something feels wrong, support your peers, and stand for what is right even when it’s hard.

To parents, teachers, and guardians be the reason a girl feels safe. Create spaces filled with trust, understanding, and love. Encourage her to stay focused, stay brave, and never give up on her dreams.

Because when girls are safe, they are unstoppable. And when girls are unstoppable, communities thrive.

As the African proverb says, “Train a girl, and you train a nation.” This reminds us that creating safe spaces for girls is not only a moral duty but a foundation for building stronger, safer, and more prosperous communities.

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

 

 

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MONDAY HEALTH BURST

Health, Monday Health Burst /

Clean Water, Healthy Living

Water is the foundation of life, yet many communities continue to live without safe and reliable access to it. Globally, an estimated 2.2 billion people lack safely managed drinking-water services1. Clean water isn’t just a convenience it is a necessity for good health, hygiene, and dignity.

Clean water plays a critical role in preventing illness and supporting overall well-being. Contaminated water is a key driver of diseases such as cholera, typhoid, diarrhoea, and dysentery, which disproportionately affect children under five and other vulnerable populations2. Reliable water access supports proper handwashing, hygiene, and safe food preparation all of which reduce disease transmission and promote healthier communities.

Beyond drinking, safe water is essential for everyday hygiene washing hands, bathing, cleaning, and preparing food. In areas where water is scarce or unsafe, these basic practices become difficult or impossible. Studies show that consistent access to safe water and good hygiene can reduce diarrhoeal diseases by up to 40% and other infections by significant margins2.

In the Federal Capital Territory (FCT) of Nigeria, the gap between water infrastructure and access is stark. For instance, in Takushara (AMAC) and Karshi, residents rely on streams or shallow wells as their main water sources both unreliable and unsafe3. One mother explained that a ₦1,000 water truck might last only two days for her household with a newborn. Similarly, in Gosa Kpai Kpai (AMAC) and several villages in Kuje, such as Kutasa, Tukaba 1, Tukaba 2, and Kabin-Mangoro, open defecation is still common, and pond water remains the only available option4. Another assessment revealed that about 65% of boreholes in rural Abuja are non-functional, further limiting safe water access5.

These realities illustrate how lack of clean water directly impacts community health outcomes. Women and children bear the heaviest burden traveling long distances to fetch water, managing limited supplies for daily needs, and facing greater exposure to water-borne diseases. In maternity and child health settings, the absence of clean water increases the risk of infection, discourages facility delivery, and worsens maternal and neonatal outcomes3.

Efforts to improve access through functional boreholes, piped services, community management, and hygiene education are essential for promoting healthy living. When communities have nearby safe water, children attend school more regularly, families stay healthier, and households are freed from the strain of fetching water. Clean water is not merely a basic service it’s a pathway to health, empowerment, and sustainable development.

At the Centre for Family Health Initiative (CFHI), we continue to advocate for and implement community-based interventions that promote Water, Sanitation, and Hygiene (WASH) practices. Through school health clubs, health education, and sensitization campaigns, CFHI empowers individuals and families to understand the importance of clean water, proper sanitation, and hygiene behaviours. In addition to awareness initiatives, CFHI has provided WASH facilities in schools with support from IHVN. These collective efforts help prevent disease, promote healthy living, and support progress toward Sustainable Development Goal 6 Clean Water and Sanitation for All.

Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

References

  1. World Health Organization. Drinking-water (Fact sheet). Geneva: WHO; 2024. Available from: https://bit.ly/WHO-drinkingwater
  2. World Health Organization/UNICEF Joint Monitoring Programme. Water, sanitation and hygiene (WASH) monitoring: 2.2 billion people lack safely managed drinking water services. Geneva: WHO/UNICEF; 2025. Available from: https://bit.ly/JMP-Water2023
  3. Radio Nigeria. Water scarcity threatens maternal health in FCT communities. Abuja: Federal Radio Corporation of Nigeria; 2024 Jun 21. Available from: https://bit.ly/RadioNG-WaterFCT
  4. ICIR Nigeria. Water crisis deepens in Abuja communities amid unsafe sanitation. Abuja: ICIR; 2024. Available from: https://bit.ly/ICIR-AbujaWater
  5. Nonfunctional boreholes worsening water crisis in Abuja. Nigeria: WASHNIGERIA; 2024. Available from: https://bit.ly/WashNG-Boreholes

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CFHI Participates in 2024 VAPP Act Validation Meeting

Gender, Gender Based Violence, Gender Equality, WHO, Women, Women's Rights /

CFHI Participates in Validation Meeting on the 2024 Annual Implementation Report of the VAPP Act

The Centre for Family Health Initiative (CFHI) joined other key stakeholders at the Validation Meeting on the 2024 Annual Implementation Report of the Violence Against Persons (Prohibition) Act, 2015, held today at the NAPTIP Training Resource Centre, Federal Secretariat, Abuja.

The meeting brought together representatives from government agencies, civil society organizations, and development partners to review and validate progress made in implementing the VAPP Act across Nigeria. Discussions centered on strengthening coordination, addressing implementation gaps, and improving service delivery to survivors of gender-based violence.

CFHI’s participation underscores its ongoing commitment to advancing gender equality and promoting a society free from all forms of violence. Through collaboration and evidence-based advocacy, the organization continues to support national efforts in ensuring the effective enforcement of the VAPP Act.

By engaging in such strategic dialogues, CFHI reaffirms its role in driving accountability and fostering partnerships that protect the rights and dignity of all persons, particularly women and vulnerable groups. 

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SPEAK WEDNESDAY

Gender, Gender Based Violence, Gender Equality, Speak Wednesday, Women, Women's Rights /

Democracy Fails Women When It Ignores Gender Violence

Democracy is more than ballots, parliaments, and courtrooms it is the everyday reality that allows every person to live with dignity and safety. When a democratic system pretends that voting and institutions alone guarantee equality while turning a blind eye to the daily threat of gender-based violence (GBV), it is failing a fundamental promise: protection for all citizens. For millions of women, the “freedoms” democracy claims to protect are hollow if public systems, laws, and practices do not prevent, punish, and deter gendered violence.

The hard numbers refuse to let us look away. Globally, roughly one in three women has experienced physical and/or sexual violence by an intimate partner or sexual violence by a non-partner in her lifetime a staggering indicator that violence is not an exception but a systemic condition that persists across democratic and non-democratic states alike. (World Health Organization)

Nigeria’s statistics reflect this painful truth at home. National data and large-scale studies point to around a third of women experiencing intimate partner violence (IPV), with some surveys showing 31–35% having experienced some form of IPV in recent measures. These are not abstract percentages they translate to millions of women whose bodily autonomy, mental health, economic participation and civic engagement are continuously undermined. (DHS Program)

Worse, the trendlines in some places show an alarming rise in certain forms of violence over time. Comparative analyses of regional data (for example, conflict-affected northeast Nigeria) demonstrate increases in emotional and sexual IPV between survey rounds a decade apart; a signal that crises, weak accountability, and institutional neglect worsen GBV even within states that hold elections. When democratic systems fail to protect women in times of stress, the social contract fractures. (ResearchGate)

 There are three recurring failures because democracy fail in practice:

  1. Visibility without remedy. Democracies can record crimes and produce statistics, but if police, health systems and courts do not follow through, documentation becomes an exercise in moral hygiene rather than justice. Survivors who report violence often encounter blame, delays, unsafe processes, or outright dismissal.
  2. Law without implementation. Nigeria has laws criminalizing domestic and sexual violence, but enforcement is uneven. Where patriarchy is embedded in institutions, legal protections are toothless. Laws on paper become meaningless when budgets, training, and survivor-centered services are absent.
  3. Public indifference normalized as “private matters.” When GBV is repeatedly framed as a private or cultural problem, democratic debate excludes the voices of survivors and diminishes the urgency required for structural change.

These failures matter because gender violence is not merely a private tragedy it is a public, democratic harm. GBV shrinks women’s political voice (fear limits public participation), undermines economic independence (injury, trauma, time away from work), and burdens health systems. Democracies that do not treat GBV as a governance and human-rights priority are sustaining inequality disguised as civility.

It’s not enough to pass new laws; democracies must transform institutions and social norms. That means guaranteeing emergency health and legal services; training and holding police and judiciary accountable; funding safe shelters; integrating GBV prevention in schools and workplaces; and centering survivors in policy design. It also means political leaders must stop treating GBV as a “women’s issue” and recognize it as a democracy and development crisis.

At the Centre for Family Health Initiative (CFHI), we approach this challenge on three complementary fronts: prevention, survivor support, and advocacy. On prevention, we run community dialogues and gender norms activities that challenge the attitudes that normalize violence and silence survivors. For survivors, CFHI facilitates safe referrals and trains Community Health Workers to provide trauma-informed first response and linkages to legal and psychosocial support. On advocacy, we engage local leaders and stakeholders to press for funded, accountable GBV services and to include GBV metrics in local governance performance reviews.

These actions are small in the face of a systemic problem, but democracy is built from local actions. When community-level institutions protect women’s rights and when civic actors demand accountability, national democracy is strengthened. CFHI’s work shows that when communities are empowered to respond and when survivors are listened to, trust grows, and that trust is the living tissue of democratic life.

A call to action

Democracy will keep failing women until citizens and leaders act as if their safety is a public good. If you read this and care about democracy, do three things today:

  • Speak up publicly: challenge the narrative that GBV is a “private” problem.
    • Support survivors and local organizations: fund and volunteer with groups offering direct services.
    • Hold institutions to account: demand transparent budgets for GBV response and regular reporting on prosecutions, service availability, and survivor outcomes.

Democracy isn’t earned through election cycles alone it is preserved by institutions and communities that protect the most vulnerable. Ignoring gender violence is not neutrality; it is complicity. Let us insist that our democracy lives up to its promise not only in rhetoric but in the daily safety and dignity of every woman.

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

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MONDAY HEALTH BURST

Health, Monday Health Burst, WHO /

Importance of Early Detection: Self-Examination and Screening Methods
Early detection plays a pivotal role in improving global health outcomes by enabling the prompt diagnosis and management of diseases before they progress to critical stages. According to the World Health Organization (WHO), early detection through regular screening and self-examination significantly reduces mortality rates associated with noncommunicable diseases (NCDs), which account for approximately 74% of global deaths annually1. Diseases such as cancer, diabetes, hypertension, and chronic respiratory illnesses often develop silently, highlighting the necessity for individuals to take proactive measures in monitoring their health2. Evidence shows that screening can lead to a 20–30% reduction in mortality for breast, cervical, and colorectal cancers when implemented consistently3.

Self-examination is a vital preventive health practice that encourages individuals to familiarize themselves with their bodies and recognize unusual changes early. For instance, breast self-examination allows women to detect lumps or abnormalities, which, when reported promptly, can lead to early breast cancer diagnosis and improved survival chances4. Similarly, testicular self-examination helps men identify abnormal growths that could signal testicular cancer, a disease with over 95% survival rate when treated early5. Additionally, individuals can engage in simple health monitoring routines such as checking their blood pressure, blood sugar, and body mass index using approved health tools. However, it is essential to emphasize that self-examination and home monitoring should never replace professional evaluation. They serve as alert systems prompting individuals to seek medical consultation when necessary6

Screening programs complement self-examination by employing medical tests to identify diseases at early stages, often before symptoms manifest. According to the Centers for Disease Control and Prevention (CDC), routine screenings such as Pap smears, mammograms, blood pressure measurements, and HIV testing have been instrumental in reducing the burden of preventable diseases7. For example, the introduction of cervical cancer screening through Pap smears has reduced mortality rates by more than 60% in countries with sustained programs8. Similarly, diabetes screening helps detect prediabetes a condition affecting nearly 10% of adults globally enabling timely lifestyle modification and treatment9. These findings reaffirm that preventive screening is not just a diagnostic tool but a cost-effective strategy for strengthening public health systems.

It is equally important to distinguish between self-examination and self-medication. The WHO warns that misuse of over-the-counter drugs without medical supervision contributes to antimicrobial resistance and adverse health outcomes10. Individuals should instead rely on evidence-based preventive practices regular checkups, health education, and medical screening to maintain their wellbeing. The goal is to empower people to recognize early warning signs while avoiding the dangers of unprescribed medication and misinformation.

At Centre for Family Health Initiative (CFHI), we prioritize early detection as a cornerstone of preventive healthcare. Through our community outreach programs, health education sessions, and screening campaigns, CFHI enlightens individuals on the benefits of routine medical checkups and responsible self-examination. Our interventions promote proactive health-seeking behavior, equip communities with accurate health information, and strengthen early response systems against preventable diseases. By fostering awareness and action, CFHI continues to drive lasting impact in the promotion of health and prevention of illness across Nigeria.

References
[1] World Health Organization. Noncommunicable diseases. WHO.
[2] GBD 2021 Non-Communicable Disease Collaborators. Global burden of disease study 2021. Lancet. 2023;401(10383):1641–1712. https://doi.org/10.1016/S0140-6736(23)00221-2.
[3] International Agency for Research on Cancer. Cancer screening and prevention. IARC.
[4] American Cancer Society. Breast self-exam and awareness. https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection.html.
[5] National Cancer Institute. Testicular cancer treatment (PDQ)–Health professional version. https://www.cancer.gov/types/testicular/hp/testicular-treatment-pdq.
[6] National Institutes of Health. Health monitoring and disease prevention. NIH.
[7] Centers for Disease Control and Prevention. Screening for chronic diseases. CDC.
[8] Arbyn M, Weiderpass E, Bruni L, et al. Estimates of incidence and mortality of cervical cancer in 2020: a worldwide analysis. Lancet Glob Health. 2020;8(2):e191–e203. https://doi.org/10.1016/S2214-109X(19)30482-6.
[9] International Diabetes Federation. IDF Diabetes Atlas, 10th ed. Brussels, Belgium: IDF; 2021. https://diabetesatlas.org/.
[10] World Health Organization. The dangers of self-medication. WHO.

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SPEAK WEDNESDAY

Gender Based Violence, Gender Equality, Health, Speak Wednesday, WHO, Women's Rights /

Closing the Gender Wealth Gap to End Violence Against Women

Economic justice is the key to safety, health, and empowerment for women worldwide. Every Wednesday, we raise our voices to challenge injustice, and today we confront one of the most entrenched roots of gender-based violence: economic inequality. The gender wealth gap isn’t just a financial statistic; it’s a silent enabler of abuse, a barrier to freedom, and a public health emergency.

Globally, women earn less than men for the same work3, own less property, have limited access to leadership4 and fewer financial safety nets1. This economic disparity creates a cycle of dependency that heightens exposure to violence and limits the ability to escape abusive environments. In Nigeria, for instance, the Minister of Women Affairs recently emphasized that closing the gender gap could add ₦15 trillion to the country’s GDP annually by 20252, underscoring the economic potential of gender equity.

These issues are persistent and global. In the EU, despite the “Women on Boards” directive aiming for 40% female representation by 2026, progress is slow. Women currently hold only 35% of non-executive roles and 21% of senior executive positions 4. This is despite evidence from a 2025 report showing that companies with greater gender diversity are 25% more likely to be more profitable3. In sectors like tech and finance, women continue to report being passed over for promotions, excluded from decision-making, and subjected to gender-based microaggressions, which stifles their economic advancement4.

Call To Action

To end violence against women, we must invest in their economic power. As outlined in a UN Women 2025 advocacy paper, closing the funding gap in programs that support survivors and prevent violence is critical1. We call on Governments, NGOs, and private sector to collaborate on expanding access to education and vocational training, supporting women-led businesses and financial literacy programs, funding essential services for survivors, including shelters, legal aid, and healthcare, and advocating for and enforcing equal pay and robust workplace protections.

At the Centre for Family Health Initiative (CFHI), we are committed to this work. Through collaborations with partners like the Institute of Human Virology Nigeria (IHVN), Caritas Nigeria, FCT Social Development Secretariat (SDS), TY Danjuma Foundation (TYDF), and Global Philanthropy Alliance (GPA), we have empowered over 2500 women and girls with education, vocational training, business start-up kits, and financial support.

Financial inequality isn’t just unfair; it’s dangerous. It limits women’s choices, increases health risks, and perpetuates cycles of violence and poverty. Empowering women economically is not merely a matter of justice; it is the essential foundation for building safer, healthier societies for all.

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

References

  1. UN Women. Closing the funding gap to end violence against women and girls [Internet]. 2025 [cited 2025 Oct 21]. Available from: https://knowledge.unwomen.org/sites/default/files/2025-06/closing-the-funding-gap-to-end-violence-against-women-and-girls-en.pdf
  2. The Guardian Nigeria. Closing gender gap will add ₦15tr to Nigeria’s GDP by 2025 [Internet]. 2025 [cited 2025 Oct 21]. Available from: https://guardian.ng/news/closing-gender-gap-will-add-n15tr-to-nigerias-gdp-by-2025/
  3. Women in the workplace 2025: Research and trends [Internet]. 2025 [cited 2025 Oct 21]. Available from: https://www.wellable.co/blog/women-in-the-workplace-2025-research-and-trends
  1. IMD. Gender inequality in the workplace: Why it persists? [Internet]. 2025 [cited 2025 Oct 21]. Available from: https://www.imd.org/research-knowledge/articles/gender-inequality-in-the-workplace-why-it-persists/

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MONDAY HEALTH BURST: OVERVIEW OF BREAST CANCER

Gender, Health, Monday Health Burst /

Overview of Breast Cancer

Breast cancer remains one of the most prevalent and life-altering diseases affecting millions globally. Despite significant advances in detection and treatment, it continues to pose a major public health challenge.

Breast cancer is a malignant tumor that originates in the cells of the breast. It occurs when breast cells mutate and grow uncontrollably, forming a mass of tissue. These cells can invade surrounding tissues and spread to other parts of the body through the lymphatic system or bloodstream—a process known as metastasis. According to the World Health Organization (WHO)1World Health Organization Breast Cancer Fact Sheet. WHO, breast cancer is the most common cancer worldwide, with over 2.3 million new cases diagnosed in 2022 alone.

 

Types of Breast Cancer

Breast cancer is not a single disease but a group of diseases with various subtypes. The most common types include:

  • Ductal Carcinoma In Situ (DCIS): A non-invasive cancer where abnormal cells are found in the lining of a breast duct but haven’t spread.
  • Invasive Ductal Carcinoma (IDC): The most common type, accounting for about 80% of cases. It begins in the ducts and invades surrounding tissue.
  • Invasive Lobular Carcinoma (ILC): Starts in the lobules (milk-producing glands) and can spread to nearby tissues.
  • Triple-Negative Breast Cancer (TNBC): Lacks estrogen, progesterone, and HER2 receptors, making it more aggressive and difficult to treat.
  • HER2-Positive Breast Cancer: Characterized by overexpression of the HER2 protein, which promotes cancer cell growth.

Each type has different treatment options and prognoses, emphasizing the importance of accurate diagnosis.

Breast cancer development is influenced by genetic, hormonal, and environmental factors. Mutations in genes like BRCA1 and BRCA2 significantly increase the risk. These mutations can be inherited or acquired over time due to exposure to carcinogens, lifestyle factors, or aging.

The process typically follows these stages:

  1. Initiation: Genetic mutations occur in breast cells.
  2. Promotion: Mutated cells begin to multiply.
  3. Progression: Cells form a tumor and may invade surrounding tissues.
  4. Metastasis: Cancer cells spread to other parts of the body.

In Nigeria, breast cancer accounts for 22.7% of all cancer cases among women, globally, 1 in 8 women will be diagnosed with breast cancer in their lifetime. Men are also affected, though less frequently—about 1% of all breast cancer cases occur in men, the highest incidence rates are found in high-income countries, but mortality rates are disproportionately higher in low- and middle-income countries due to late diagnosis and limited access to treatment. Nigerian Cancer Society. Cancer Statistics in Nigeria. NCS

 

Signs and Symptoms

Common symptoms of breast cancer may include a lump or thickening in the breast or underarm, changes in breast size, shape, or appearance, dimpling or puckering of the skin, nipple discharge (especially if it is bloody), nipple inversion or pain, and redness, scaling, or swelling of the breast or nipple. Regular self-examinations and clinical screenings play a vital role in ensuring early detection. While not all breast cancers are preventable, several strategies can reduce risk:

At CFHI, we are committed to transforming lives through health education, advocacy, and preventive care. We empower individuals and communities with the knowledge and tools they need to make informed health decisions. By fostering a culture of health consciousness, CFHI is helping to reduce the burden of preventable illnesses and build a healthier, more resilient society.

Breast cancer affects millions, but together, we can change the narrative. CFHI invites you to join the movement; whether by attending our health seminars, volunteering in community outreach, sharing educational materials, or simply encouraging loved ones to get screened. Your voice, your time, and your support can save lives.

Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

References

  1. World Health Organization Breast Cancer Fact Sheet. WHO
  2. Nigerian Cancer Society. Cancer Statistics in Nigeria. NCS

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