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    News

    Exposed! Lagos hospital where newly-born babies, moms sleep on chairs, floor

    By Tireni AdebayoNovember 21, 2015
    Entrance of the hospital

    She had become thoroughly exhausted by
    the time her mother and her driver helped her out of the rear seat of
    the black sport utility vehicle that morning. With pockets of pain all
    over her face, she was limping, breathing with so much effort, as they
    slowly made their way to the entrance of the maternity ward of the Ifako
    Ijaye General Hospital in Lagos.

    Her health seemed to be failing her,
    thus, she settled into one of the chairs outside the ward to have some
    rest and attend to her baby who had been crying in the arms of her
    mother. After some minutes of rest, she proceeded into the ward for
    treatment.
    Since about two months ago when she was
    delivered of a baby girl in the hospital, Mrs. Rose Adesina, as she
    later introduced herself, has been confined into a world of pain, and
    suffice it to say life has been hellish for her since then.
    Struggling to muster some strength moments after her treatment, she told playexposed-lagos-hospital-where-newly-born-babies-moms-sleep-on-chairs-floor/”>Saturday PUNCH that her failing health might not be unconnected with the way she was treated shortly after her delivery.
    Her explanation was simple, but
    shocking. She said few hours after she was delivered of her baby boy,
    one of the nurses in the ward told her to pack her things, vacate the
    bed and sit on the chair to allow other women have access to the bed
    space.
    That development, which findings
    revealed as being synonymous with the hospital because of the constraint
    of space and the need to attend to other women in labour, did not only
    rob her of the much needed rest after delivery, she has since been
    living in pains.
    She recalled, “I was delivered of my
    baby girl around 1am and moments later I guess I slept off. Very early
    in the morning, a nurse came to me and said I should pack my things
    because I would need to go and sit on a chair, pending the time I would
    be discharged, so they could admit another person to use the bed.
    “I thought I was dreaming, so I had to
    wipe my face and be sure what I heard was real because I was tired and
    could barely talk loudly. I asked her why she wanted me to stand up from
    the bed and sit on a plastic chair when I was just recuperating. She
    said there was no luxury of space and that there were people waiting to
    be admitted.
    “By that time, all the parts of my body
    were aching and all I needed was rest, but I had to stand up. In fact,
    when my husband came in and met me sleeping on the chair, he was
    disturbed and screamed. They explained to him but it just didn’t make
    sense to him, just as it was like a dream to me.
    “They laid my baby on the floor while I
    sat on the plastic chair for about five hours, writhing in pain. By the
    time I was discharged later in the day, I had become so depressed,
    miserable and weak, with cramps in my stomach and all over my body.
    Since then, I have been on drugs and that has made me a regular visitor
    to the hospital for post-natal treatment.
    “It’s painful. If I had known, I would
    have gone to a private hospital because even when I had my twins; a boy
    and a girl, I wasn’t this sick. All through the time I was on that
    chair, it was as if I was dying because all the parts of my body were
    going numb. I had a backbreaking delivery, so, to deny me of a quality
    rest was simply wicked.
    “In fact, the nurses told me that
    someone stood up for me so I had to stand up for someone else. It was
    during a brief interaction with other women on my way out of the ward
    that they told me it was a norm because of the crowd and the inadequate
    bed space.”
    Adesina’s experience highlights what
    pregnant women go through in this all-important hospital, where women
    who had just been delivered of their babies are told, sometimes
    compelled, to vacate the bed and sit on plastic chairs so that other
    pregnant women in the queue could be admitted.
    As the only main General Hospital in the
    area, catering for the health needs of residents of this part of Lagos,
    including Ogba, Ojodu, Agege, Abule Egba and many others from
    neighbouring towns in Ogun State, including Agbado, Sango, Mowe, Ibafo,
    among many others, the number of patients, especially pregnant women,
    that besiege the hospital almost on a daily basis is often enormous.
    On entering the hospital, the maternity
    is about the only new building, standing gigantically on the left side
    of the premises. It comprises emergency ward, children ward and four
    other maternity wards. Each of the four wards comprises about 16 bed
    spaces. But as fascinating as it appears, it appears inadequate to cater
    for the number of pregnant women that besiege the hospital daily.
    During our correspondent’s visits to the
    hospital, the number of pregnant women at the premises was simply
    alarming. It was however gathered that the facility receives tens of
    pregnant women on daily basis.
    This was further evidenced when our
    correspondent visited the premises on Thursday, the day set aside for
    them. The number of women at the antenatal waiting area was about 100 as
    they were being attended to by the nurses.
    Due to the enormous pressure on the
    hospital, our correspondent observed that pregnant women are constantly
    in the queue for bed space to have their babies, and as soon as one is
    delivered of her baby, another one would be warming up to take
    possession of the bed space. One of the nurses confided in our
    correspondent that any woman who had a normal delivery and without
    complications would “definitely” be discharged outright because of the
    shortage of space.
    Ifako as preferred choice for many
    The Ifako General Hospital does not
    attract such human traffic only because of its location, findings
    revealed that the relatively cheap cost of medical care and the
    expertise of its medical personnel have made it a preferred choice for
    many.

    Some relatives in front of the old ward

    For example, the cost of registering for
    antenatal care in the hospital is about N7,000, which includes the cost
    of certain kits that would be made available to the woman before,
    during and after delivery. This is largely in sharp contrast to what
    obtains in some private hospitals in the area whereby the amount payable
    for antenatal care falls between N15,000 and N30,000, which is
    considered by many as unaffordable. And in some cases, the payment
    continues till the woman is delivered of the baby.
    Furthermore, the cost of delivery in the
    hospital is also considered as cheap when compared to others. A member
    of staff who is privy to the charges said, “If a woman gives birth to a
    girl and it’s through normal delivery, it costs N25,000, but if it’s a
    boy, the cost is N27,000 and the N2,000 difference is for circumcision.
    If the delivery is through Caesarean section, the cost is about
    N100,000. It could be more or less. However, if the woman didn’t
    register for antenatal care with us, it could be more than that for both
    normal delivery and CS. The cheap cost of medical care and availability
    of specialists are part of the things that endear the hospital to many
    and that is almost becoming a problem because there are too many
    people.”
    In comparison, when our correspondent
    visited some private hospitals in the area to be able to compare their
    charges, apart from the fact that there were fewer patients, the cost in
    the private hospitals were higher.
    Cost of normal delivery in some of the
    hospitals range from N30,000 to N45,000 while CS could be as high as
    N150,000, depending on the complexity of the situation.
    It is worthy of note that the amount payable for delivery is independent of the one paid for antenatal care.
    It was also observed that majority of
    the patients at the General Hospital were low- and middle-income
    earners, who are remunerated based on N18,000 minimum wage. While most
    of those at the private hospitals appeared to be above-average citizens,
    in terms of income.
    Some pregnant women told our
    correspondent that the proficiency of the hospital in maternity issues
    drew them to it. “And that is why people come from far places to use it.
    Even though the idea of telling people to quit the bed and sit on a
    plastic chair after delivery has left some people in agony,
    complications and unpleasant experiences, people still come here,” a
    pregnant woman from Ikorodu told our correspondent.
    On occasions when our correspondent
    gained access into the wards, it was usually a pitiable atmosphere, as
    some women sat on chairs with newly-born babies on their hands, all the
    bed spaces were occupied. Due to the constraint of space in the ward,
    some had to sit at the entrance and were obviously waiting for their
    turn.
    On one of such visits that our
    correspondent entered the ward, from one end of the ward, one could not
    but notice the cries of a new-born. Wrapped in a wool blanket and placed
    on a chair beside her mother who was visibly weak and frustrated, the
    baby kept crying and was inconsolable.
    Findings showed that the mother and
    child had been moved to sit on the chair shortly after the delivery
    because of an emergency case for which another woman had to be admitted
    on the bed.
    Endless frustration of patients
    The agonising experience of Mrs. Jegede
    Josephine can be likened to what Adesina also went through in the same
    hospital. She had shunned the private hospital in her area for the Ifako
    Ijaye General Hospital so as to save some money. However, she said that
    apart from spending more than she expected, she left the hospital in
    pains.
    Our correspondent met with Josephine in
    the premises of the hospital, where she sat under the waiting shed,
    fanning herself and pampering her twins on the Tuesday afternoon while
    on a visit for treatment for post natal care. She was apparently still
    recuperating. She said that despite the fact that she had a laborious
    delivery of her set of twins, few hours after, she was asked to stand up
    from the bed and sit on the chair pending her discharge “so as to admit
    another person.”
    She added, “I was delivered of my babies
    around 7pm. About five hours later, a woman was rushed in and all the
    beds were occupied, so, I was told to stand up and use the chair so they
    could admit the woman who had an emergency, because other women in the
    ward were either close to delivery or were delivered of their babies
    after me.
    “Eventually, I had to stand up and sit
    on the chair by the entrance while they quickly rushed the woman in. I
    sat on that plastic chair for hours. I couldn’t even sleep very well. I
    had to be moving up and down because my legs and some parts of my body
    were getting numb until a nurse gave me a cloth that I laid on the
    floor. Then, they laid my babies on a piece of thick cloth on the floor
    beside me. I was terrified.
    “I felt like crying with what I was
    going through and seeing my babies on the floor, and that was how we all
    slept till the following morning. As early as possible, I made sure I
    was discharged and I went home to rest. If I have to conceive again,
    this is the last place I will come to because I heard that is the way it
    has always been in this hospital because of space problem.
    “In fairness to them, it’s not entirely
    their fault. They just need to save lives and help those in labour and
    since there is no adequate bed space, they have to find a way, just that
    some women who are not strong might end up with some post-natal
    complications, and that is I why I’m here for treatment.”
    Josephine said even though she was
    constrained to stand up because of the situation of the person being
    brought in to take over her bed space, she had yet to recover from the
    trauma she suffered from the development, saying she could have been
    moved to another ward just to sleep instead of leaving her and her
    babies to sit on the chair.
    In Ifako hospital, pregnant women dread ‘Nigeria’
    While women with natural delivery go
    through such a terrifying experience, the experience of those (pregnant
    women) who go through caesarean section does not seem better. Findings
    showed that usually, three days after the operation, in order to create
    space for others to be admitted, such women would be moved to the old
    two storey building, popularly known as ‘Nigeria’ for their recovery.
    But ‘Nigeria’, which is behind the new
    edifice, called ‘London,’ is dreaded by most pregnant women, especially
    those who have been admitted there before, and the main reason for the
    reluctance is the swarm of mosquitoes in the building. The wards
    reserved for such pregnant women were labelled Annex one and two on the
    ground floor.
    Due to the bed space shortage, women in
    this hospital are either compelled to sit on the chair (for normal
    delivery) or transferred to Nigeria, where mosquitoes roam freely.
    Mrs. Emmanuel Sefunmi bemoaned her
    experience in the hospital in a chat with our correspondent. She said
    after she was operated upon to have her baby, she was moved to ‘Nigeria’
    after three days in the ward so that other people could make use of the
    bed.
    She said, “In Nigeria, I saw hell. The
    mosquitoes there were just too many. It was as if they were on a special
    assignment. I and my baby left that place with malaria symptoms and
    since then, we’ve been treating malaria. The hospital looks very
    attractive, and no doubt many people prefer to use it, but some of the
    experiences here are just painful.
    “Assuming I was left in the ‘London’
    maternity ward, I wouldn’t have had malaria because the place is safe
    and healthy, but that ‘Nigeria’ is something else, especially with the
    issue of mosquitoes.
    “And what I went through is the same
    with what many other persons go through because there is no enough bed
    space. Once they see that you are getting better and you are able to
    move, you are on your way to ‘Nigeria’ because other people are
    waiting.”
    Interestingly, as much as patients dread
    ‘Nigeria’, there is a suitable alternative for those who can afford it.
    Findings showed that there is a private ward in the new building where
    people who went through CS can be admitted for a higher fee, especially
    those who don’t want to go to ‘Nigeria.’
    A nurse, who spoke to Saturday PUNCH on
    the condition of anonymity for the fear of recrimination, said the cost
    of staying in the private ward is about N2,800 per day after paying a
    certain amount.
    “And the place is fitted with items of
    comfort, just that it is not everybody that can afford it. But for those
    who can, it is a good place to be after delivery,” the nurse added.
    Beyond the rather painful experience of
    pregnant women in the hospital, patients queue and sit endlessly to be
    attended to, while some other people who visit the hospital have had to
    go back and look for alternatives because of the shortage of bed space
    in some other wards in the hospital.
    No doubt, the hospital buildings are
    modern and very appealing, but beyond the aesthetics, the hospital is in
    dire need of expansion and improved service delivery from the health
    care providers, to forestall the volume of avoidable pains and
    lamentations emanating from it, occasioned by the inadequate bed space.
    Suffering in the midst of plenty
    Notably, beside the hospital is an
    uncompleted stadium occupying a large expanse of land. Some of the
    patients and visitors to the hospital wondered why the hospital should
    be starved of space while an uncompleted stadium that had not been put
    into maximum use would boast of better space.
    They, however, called on the state
    government to look for ways to expand the hospital and build more
    general hospitals in other areas to reduce the pressure.
    One of the nurses said, “We are
    overwhelmed by the crowd and that is why in our maternity ward, people
    are discharged as soon as it’s safe to do so. Sometimes, people come
    from Mowe, Ibafo, and even Ikorodu. It’s that serious. So, government
    needs to help us to help the people.”
    When confronted with some of the issues
    raised concerning the hospital, the Lagos State Commissioner for Health,
    Dr. Jide Idris, told our correspondent on the telephone that the
    government was working to improve the health care system in the state.
    He explained that government was aware
    that some of its heath facilities had been overwhelmed due to the influx
    of patients and inadequate health facilities across the state, but
    noted that more health care centres would be created to adequately cater
    for people’s health needs.
    He added, “I don’t have the details of
    the situation in the hospital, but on a general note, we are focusing on
    increasing people’s access to medical care in all dimensions. We would
    also make sure that facilities that are not functioning optimally are
    maximised. That is why we are working on boosting our primary health
    care system to take care of such preliminary cases.
    “No doubt, we have more people than the
    facilities available, so, we will create more centres to adequately
    serve parts of Lagos that have not been covered, and the quality of
    health care will also be improved upon. So, I will get details of that
    hospital and deal with it appropriately.”
    When asked about the poor attitude of
    some health workers to patients, Idris promised that the situation would
    be addressed, but noted that it would be a continuous exercise.
    He added, “I agree with you that it
    (health workers’ relationship with patients) is one other area that we
    need to address, and in addressing that, we have to find out the causes
    and work on them. The primary objective is for patients to be treated
    with respect, but unfortunately, some of our health workers have not
    imbibed that. On this, we are going to focus more on attitudinal change.
    It is not something we can do overnight. It has to be done
    continuously.
    “Another thing we would do is to teach
    them about this vital issue right from when they are in medical school,
    so that this attitude can be properly inculcated into them. I do agree
    it’s a major problem that we need to address and we will address it.”
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