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Security challenges contribute to increasing zero dose immunization prevalence in Borno state
Security challenges contribute to increasing zero dose immunization prevalence in Borno state
By: Bodunrin Kayode
The Director of Public and Community Health in the Borno State Primary Healthcare Development Agency (BSPHDA) Dr Mala Abdulwahab has said that security challenges contribute to the high prevalence of zero dose.
Dr Mala regretted that a lot of the “zero-doses” of immunization being recorded in Borno state comes from the lingering level of insecurity plaguing the state adding that a reduction of the prevalence would take place only if these insecurity gaps are closed.
Dr Mala made these assertions during a review meeting of the Borno state annual score card for immunization accountability 2024 as put together by the Committee of Practice (COP) and the Africa Health Budget Network (AHBN) which held in maiduguri recently.
He said that the lingering insurgency in the state has definitely put a clog in the wheels of a lot of progress which should have been made in the reduction of the zero dose when it comes to immunization adding that it is the hope of the COP that this primary challenge would soon be a thing of the past.
Speaking on further challenges working against health workers during zero dose immunization, Dr Mala regretted that a lot of residents actually assume that because elites are expected to have some form of education, resistance or carelessness will not emanate from them or even core insiders in the medical profession.
Mala’s sadness on this issue stems from the fact that a large chunk of some medical personnel in Borno state are not helping to attack the rising prevalence of the zero dose cases in the state, because they equally take the campaign for granted depriving their kids from having the relevant vaccines as at when due.
The Director of public and community health revealed that Borno state contributes a whopping 60 percent of the measles prevalence in the country adding that something urgently must be done by health workers and educators to reverse this unsatisfactory trend within the sector.
The Director Community health posited that theses kids who are yet to start their regimes of the vaccines especially penta 1,2 and 3 are equally contributing to the embarrassing statistics being reeled out from within the system.
“There is really no reason why we must be having zero-dose cases up till now within this part of the country. It is very unfortunate that this preventable occurrences keep coming up in spite of our efforts.
“Some of the zero-does do come from the elites in the country while some are compromised by prevailing security challenges especially around the state capital areas and some other parts of the state too. But we must keep trying.
” Let me tell you how we used to handle difficult fulani people in the bush, we go with our veterinary doctors and by using the veterinarians they talk to the fulani people to fall in line in terms of taking the vaccines. They see their cattle getting better and their kids too.
” However, it is regrettable that some medical practitioners are not allowing their kids to be immunized against the six killer diseases. This should never be allowed to thrive within the on coming immunization campaigns.
“And this is why I am calling on all of us here to pay relevant visits to VIPs, stakeholders and influencers to ensure that the civil society, media and others are carried along to reduce zero-doses to the nearest minimum.
“For immunity to be maintained, we need to work on the 65 percent coverage of immunization in the state to something better. We must make better progress in the pending campaigns.
” I also urge that advocacies should be done in large numbers to ensure effectiveness. Community leaders will take you more serious when you go in large numbers to make your points heard” Said Mala.
The Director called on field representatives to make deliberate efforts to ensure they anchor their advocacies with the traditional rulers of each domain like the Shehu of Borno in the state capital to make the expected progress.
Also present in the review session, Peace Ambassador, Ahmed Shehu assured the round table of stakeholders that their convergence will close a lot of gaps on the entire vaccination architecture in the state.
He assured that activists like him will do their best to ensure that the zero-dose prevalence becomes a thing of the past as they forge ahead in the 2025 campaigns.
Also speaking, Dr Musa Melton, a senior field coordinator of the African Field Epidemiology Network (AFENET) in Borno state noted that the exercise was meant to open the remaining vestiges of existing challenges caused by the zero dose and dealing with them decisively from the coming campaigns to be mounted by the community of practice (COP).
He however noted that the last review of actualities on ground was not all that gloomy because epidemiological statistics indicated that the number of zero-doses have actually reduced in the state and the entire country.
Melton commended Dr Aminu Magashi the founder of the Africa health network for bringing the vital budgetary issues to the fore adding that with the new push to bringing down the number of zero-doses in the state and the willingness of the state govt led by Prof Babagana Zulum to spend more on health, there is good news at the horizon.
Dr Melton stated that measles has however dropped drastically in the state and the entire country from last year’s statistics to this year’s adding that they will soon celebrate the end of the zero-dose prevalence as the campaigns intensifies.
UNICEF immunization officer and representative in the round table Bashir Elegbede frowned at dishonest immunization officers adding that inspectors will be in the field for the next campaign to hunt down such people and reduce such misbehaving practitioners contributing to the zero dose.
He warned that everyone will answer his or her fathers name this time around as business as usual will never be tolerated from anyone.
Present at the occasion were stake holders from within the state and some from outside like Dr Aminu Magashi who is the global convener of the community of practice (COP) on accountability and social action on health and a member of the global action plan for SDG 3 advocacy group.
A child in contemporary Nigeria is said to be out of the zero-dose prevalence when such a child had been subjected to BCG, OPV O, Hepatitis BO all at birth.
Within six weeks the same child should have taken Pentavalent 1, PCV 1, OPV1, IPV1, and ROTA 1 while at 10 weeks, Pentavalent 2, PCV2, OPV2 and ROTA 2.
At 14 weeks a child is expected to have taken Pentavalent 3, PVC 3, OPV 3, IPV2 and Rota 3.
At five months the malaria vaccine should be infused while at six months the vitamin A 1st dose even as the malaria vaccine is followed at seven months.
By nine months one’s baby should be done with measles first dose, yellow fever, Meningitis vaccine and vitamin A second dose even as the measles second dose and malaria vaccine are administered at 15 months.
Updated data received from the COP indicated that by 9 Years, children should be ready for the human Papilloma virus vaccine and that should make them good to go by world standards to avoid zero-doses.
This is the contemporary ideal and expectations for all children as laid down by the national primary health agency of Nigeria.
Security challenges contribute to increasing zero dose immunization prevalence in Borno state
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Nigeria Launches Investigative Guide to Tackle Sexual Violence, Strengthen Justice for Survivors
Nigeria Launches Investigative Guide to Tackle Sexual Violence, Strengthen Justice for Survivors
By: Michael Mike
In a renewed push to confront the widespread challenge of Sexual and Gender-Based Violence (SGBV), key stakeholders across Nigeria’s justice sector and international community on Thursday unveiled a new investigative tool aimed at improving the handling and prosecution of sexual assault cases.
The Quick Reference Guide for Investigating Sexual Assault was launched at a high-level event attended by members of the judiciary, law enforcement agencies, government institutions, civil society groups, and development partners. The initiative is expected to enhance the capacity of frontline responders and ensure a more coordinated, survivor-centred approach to justice delivery, particularly in the insurgency-affected Northeast.
Speaking at the launch, the Country Representative of the United Nations Office on Drugs and Crime (UNODC), Cheikh Toure, described the guide as a critical step forward in addressing gaps in the investigation and prosecution of sexual violence cases.

He noted that communities in Borno, Adamawa, and Yobe States have endured years of conflict and displacement, conditions that have heightened the risk of sexual violence and deepened the need for effective justice mechanisms.
Toure explained that the guide provides practical, field-based direction for responders, outlining key steps from the point of reporting to the preparation of case files. It also incorporates referral pathways to ensure survivors are promptly connected to medical, legal, and psychosocial support services.
He acknowledged the Government of Canada for its support, emphasizing that the partnership reflects a shared commitment to ending impunity and ensuring that survivors have access to justice. He further stressed that the initiative was driven by Nigerian institutions and developed through consultations with local experts, making it both context-specific and sustainable.
A major focus of the guide, according to Toure, is the proper handling of forensic evidence—often the deciding factor in securing convictions. He warned that poorly collected or mishandled evidence continues to undermine cases, allowing perpetrators to evade justice. To address this, the initiative is complemented by ongoing efforts to strengthen forensic infrastructure, including upgrades to sexual assault referral centres and laboratory capacity in Abuja.
Also addressing participants, Hon. Justice Obiora Egwuatu painted a sobering picture of the prevalence and impact of SGBV in Nigeria, describing it as a daily reality cutting across all communities. He defined SGBV as acts driven by unequal power relations and harmful gender norms, encompassing offences such as rape, domestic violence, child marriage, sexual harassment, and economic abuse.
He noted that while women and girls remain the most affected, men and boys also suffer in silence due to stigma and societal expectations that discourage disclosure.

According to him, the consequences of SGBV are devastating, ranging from physical injuries and psychological trauma to unwanted pregnancies, infections, and, in extreme cases, death.
Beyond individual victims, he said, the ripple effects of such violence destabilize families, strain public health systems, and weaken the social fabric of communities.
Justice Egwuatu identified several barriers to addressing SGBV effectively, including a culture of silence, stigma, weak reporting systems, delayed investigations, poor evidence management, and low conviction rates. He also highlighted the lack of accessible support services such as shelters, legal aid, and mental health care, which leaves many survivors without adequate assistance.
He further pointed to entrenched cultural norms and economic hardship as drivers of vulnerability, particularly for women and children, while conflict situations continue to exacerbate risks.
Calling for a collective response, the judge stressed that ending SGBV requires action beyond government institutions. He urged individuals, families, religious bodies, schools, and community groups to play active roles in supporting survivors, challenging harmful norms, and exposing perpetrators.
“We must break the silence, believe survivors, and ensure that justice is not denied,” he said, adding that the newly launched investigative aide-memoire would serve as a vital resource for judges, law enforcement officers, and other stakeholders in strengthening accountability.
Stakeholders at the event agreed that while the launch of the guide marks significant progress, sustained collaboration, improved institutional capacity, and societal change will be critical to ending sexual violence and ensuring justice for survivors across Nigeria.
Nigeria Launches Investigative Guide to Tackle Sexual Violence, Strengthen Justice for Survivors
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Troops Arrest Suspected ISWAP Informant, Intercept Logistics Supplies in Borno
Troops Arrest Suspected ISWAP Informant, Intercept Logistics Supplies in Borno
By: Zagazola Makama
Troops of the Nigerian Army have arrested a suspected terrorist informant and logistics supplier during a patrol operation in Borno State.
Security sources told Zagazola Makama that the suspect was apprehended at about 11:23 a.m. on April 22 by troops of 192 Battalion (Mechanised) deployed at E Company, Forward Operating Base (FOB) Pulka, under Operation Hadin Kai.
The arrest was made while the troops were conducting patrol and route clearance operations along major access routes into Pulka.

According to the sources, the suspect, identified as Abba Abdullahi, 37, and a member of a local vigilante group, was intercepted while allegedly conveying logistics supplies from Pulka to suspected ISWAP terrorist enclaves along the Pulka–Wurutakure road in the Dure axis.
Items recovered from the suspect include five wrappers, six detergents, three hijabs, three skirts, three rat fumigation tablets, five cans of energy drink, two large loaves of bread, and 10 packs of seasoning.
Military authorities said the suspect and the recovered items are currently in custody for further investigation and necessary action.
They noted that the arrest forms part of ongoing efforts to disrupt terrorist logistics networks and deny insurgents access to supplies.
Troops Arrest Suspected ISWAP Informant, Intercept Logistics Supplies in Borno
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Army Reunites Rescued Women, Children with Families in Borno
Army Reunites Rescued Women, Children with Families in Borno
By: Zagazola Makama
The Nigerian Army has successfully reunited nine rescued captives, comprising women and children, with their families following a recent rescue operation in the Mandara Mountains area of Borno State.
Security sources told Zagazola Makama that the victims were earlier rescued by troops of the 82 Division Task Force Battalion deployed in Ngoshe under Operation Hadin Kai, as part of ongoing operations tagged Desert Sanity.
The reunification ceremony took place at about 4:00 p.m. on April 22 in Ngoshe community, where families and residents turned out in large numbers to receive the victims.
The event was witnessed by representatives of the District Head of Ngoshe and other community stakeholders.
Sources said the atmosphere was marked by visible relief and joy, as residents celebrated the safe return of the women and children who had been held in captivity by terrorists.
The rescued victims include Mrs Zainab Umar (22), Aisha Abubakar (20), Aisha Audu (20), Aisha Idris (17), and another Aisha Abubakar (16), who was reportedly forced into marriage by a terrorist commander.
Others are Aisha Musa (10), Musa Umar (6), and two toddlers.
Following the reunification, the victims were documented and taken to a community clinic for medical examination and further care.
Military authorities said the successful rescue and reunification illustrates ongoing efforts to protect civilians and restore normalcy in conflict-affected areas.
Army Reunites Rescued Women, Children with Families in Borno
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