rica has never had a president like Trump. A handsome, athletic paper billionaire who gives back less than a fraction of what he owes in taxes, an overweight who drinks Coca-Cola, plays golf and runs the policies of his regime on Twitter. He wilfully uses foul language, denigrates the media, uses utterances and body language that obfuscates the multi-racial outlook of his country. He has ripped into shreds global agreements and torn documents guiding global entente but yet soars in popularity.

Trump is a character from a fiction, except that for America and the rest of the world, this is a fictionalised reality. An American president who compares himself to Abraham Lincoln but takes pot-shots at the physically challenged; one who boasts of the exploits of the American military but picks and chooses the veterans to venerate and those to disparage because they were captured in battle defending the American ideal. All these from a commander-in-chief who wilfully dodged the draft but proudly takes the salute of his country’s heroes and enjoys the display of its weapons of war like a bloody despot.

Until Trump became president, a Trump character as a storyline for an American movie or fiction would look implausible. But America has lived through four years of Trump, like an unending nightmare, watched as a once reverred country became the laughing stock of nations unworthy to tie the shoestrings of the behemoth.

To students of America’s style of democracy, some of whom have suffered and sacrificed no mean feats to bring their own system up to par to the global umpire, this has been an improbable hoax writ large. Most now look back in nostalgia of what they had sacrificed to get to where they were, wondering if what they once had was not destroyed by a nation, inherently jealous of that same thing. There are no easy ways to understand Trump as a man or the policies he represents.

The story that Number 1 is down took the world by surprise. As at the time of writing, only those who are habituated to the Trump maverick doubt what to make of the news. Is it true and verifiable, or is this chap taking the media he denigrates for a ride. Would he and his puppeteers emerge from this saying – we told you so, the media knows nothing? Or, would he come out four or five days after going back to his usual – it’s no more than the flu rhetoric?

It does not matter whether Trump recovers from COVID-19, if truly he has contracted the disease, the big question is – would America recover from Trump? For the better part of last weekend, America was on life support because Trump, its maverick leader suddenly announced from the blues that he has succumbed to an invisible virus; one that he has spent nearly a year, first denigrating, then denying, then blaming others for and finally deciding to ignore.

GivingBirthinNigeria campaign is elevating the issues around maternal mortality in Nigeria in order to put a human face to the issues that have led to death of mothers and children.

According to UNFPA, in 2017, 67,000 women died from pregnancy or childbirth-related causes in Nigeria, the highest number of maternal deaths compared to any other country in the world, and about a quarter of the global total.

One of the biggest issues is that barely 40%of all women in Nigeria give birth in health facilities with the assistance of a skilled birth attendant, a factor that significantly decreases their risks of a poor outcome.

Nigeria’s health care system faces significant challenges, like many other countries in Africa. Issues include quality of service delivery, poor attitudes of health care staff toward their patients, lack of expertise, inadequate equipment, shortages in essential medicines and an unstable supply of power and clean water. All of these issues will have to be addressed to improve maternal health care.

The #GivingBirthinNigeria campaign was launched in early 2019 as an effort to better understand the key drivers of maternal mortality at the community level and catalyze accountability for these deaths with new data and insights. Over the past 18 months, this campaign has helped create a sense of urgency in the country, the kind of “positive anger” we need to spur action toward solutions.

The consortium in this effort, Africare, EpiAFRIC and Nigeria Health Watch, conducted the maternal death review from May 2019 through May 2020 with funding support from MSD for Mothers, and was carried in 18 communities across six states, each representing a geopolitical zone (Bauchi in the North East, Bayelsa in the South South, Ebonyi in the South East, Kebbi in the North West, Lagos in the Southwest and Niger in North Central). The teams interviewed women, men, youth, traditional and religious leaders, health workers and others.

From these accounts and their related research, the teams draw a number of useful insights and recommendations, detailed in a new report.

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