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Niger Delta Human Development Report - UNDP Nigeria - United ...

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urban and urban areas. Drawing from data<br />

from the National Bureau of Statistics<br />

(2005), the most widespread methods of<br />

waste or refuse disposal are disposal within<br />

household compounds (an average of 56.9<br />

per cent) and disposal in authorized heaps<br />

(34 per cent). Other methods are through<br />

collection by government (3.3 per cent),<br />

collection by private service providers (2.7<br />

per cent), the use of government disposal<br />

bins (1.4 per cent) and others (2.7 per cent).<br />

See also chart 1.7 for data on the<br />

distribution of household toilet facilities.<br />

Recent ecological studies have shown that<br />

the adverse consequences of waste<br />

generation and improper disposal have<br />

been severe on both people and the<br />

environment. These effects have also<br />

influenced the stagnation of human<br />

livelihoods and the region's economy. In<br />

increasing the misery and impoverishment<br />

of the populace, they have exacerbated<br />

political tension, acrimony, outright conflicts<br />

and violence.<br />

Education<br />

Statistical estimates have put the proportion<br />

of children attending primary school at 80<br />

per cent (which compares favourably with<br />

the estimated national average of 54 per<br />

cent). But across the region, nearly all<br />

school facilities are in a state of extreme<br />

disrepair, requiring major rehabilitation.<br />

The secondary school system has been<br />

seriously afflicted by shortages of quality<br />

teachers, a regional pattern that is becoming<br />

increasingly acute due in large part to<br />

discordance between investments in<br />

infrastructure outside a well-coordinated<br />

planning process.<br />

Revealing the immense challenge to<br />

development and provision of social<br />

amenities for sustainable livelihood, an<br />

NDES report (2000) noted that in the<br />

<strong>Niger</strong> <strong>Delta</strong> states, covering some 30,000<br />

square kilometres and with over 3,800<br />

settlements and an estimated eight million<br />

people, there were only 2,169 primary<br />

schools and 545 secondary schools. For<br />

primary schools, this implied one school per<br />

3,700 people serving an area of 14 square<br />

kilometres, and one school for every two<br />

settlements. For secondary schools, the ratio<br />

is one school per 14,679 people serving an<br />

area of 55 square kilometres, and one<br />

school for every seven settlements.<br />

Health and health service delivery<br />

Dismal health and health service delivery<br />

pitals, clinics and primary health centres;<br />

and a lack of effective operational plans<br />

for holistic health management. The<br />

majority of <strong>Niger</strong> <strong>Delta</strong> communities living<br />

in isolated areas lack the most basic<br />

modern medical care, including first aid,<br />

given the absence of formal health services<br />

in much of the hinterland (for the various<br />

dimensions of infrastructure and social<br />

services in the region, see the NDDC<br />

Regional Master Plan, 2003/2004, chapter<br />

one, pp. 1-19).<br />

The focus groups provided corroborative<br />

evidence on the status of health in the<br />

region, affirming that modern health care<br />

facilities are largely absent. The few existing<br />

public health care centers are all in critical<br />

need of repair. Villagers described them as<br />

moribund and offering little or no<br />

assistance. The centers lack doctors, nurses,<br />

and critical supplies such as drugs, syringes<br />

and sterilizers. There were a few privately<br />

run clinics, but focus group members said<br />

services there cost exorbitant amounts.<br />

Community members resort to local and<br />

traditional remedies to deal with their health<br />

conditions.<br />

According to the NDES (1997),<br />

communities have identified health as a<br />

major issue that must be addressed to<br />

improve their quality of life. In addition to<br />

a range of diseases such as malaria,<br />

gastroenteritis, respiratory track infections,<br />

measles, worm infestation, anaemia and<br />

heart diseases, malnutrition was seen as a<br />

major problem, especially among children,<br />

with about 10 per cent to 12 per cent<br />

severely malnourished, 18 per cent to 23<br />

per cent moderately so, and 30 per cent to<br />

40 per cent mildly malnourished. Fuelling<br />

this problem is a perceived lack of correct<br />

breastfeeding methods and household food<br />

insecurity.<br />

According to an NDES (2000) report on<br />

primary health care, there is a ratio of only<br />

one health care facility for every 9,805<br />

people, with the average facility serving an<br />

area of 44 square kilometres. There is one<br />

facility for approximately every 43<br />

settlements. The numbers worsen for<br />

secondary health care. There is only one<br />

facility for every 131,174 people, serving<br />

Dismal health and<br />

health care service<br />

delivery manifests in<br />

poor hygiene; little or no<br />

health information and<br />

education; a grossly<br />

inadequate capacity for<br />

service delivery;<br />

inadequate provision of<br />

hospitals, clinics and<br />

primary health centres;<br />

and a lack of effective<br />

operational plans for<br />

holistic health<br />

management.<br />

Nearly all school<br />

facilities are in a state of<br />

extreme disrepair,<br />

requiring major<br />

rehabilitation. The<br />

secondary school system<br />

in particular has been<br />

seriously afflicted by<br />

shortages of quality<br />

teachers.<br />

32 NIGER DELTA HUMAN DEVELOPMENT REPORT

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