Tag: Pediatrics

  • Pediatrics and child health; in focus:Children of the street and children on the street (4)

    Ogun state has nine registered Universities, the highest of any state in Nigeria, whereas Osun state has four or five .What a proactive enterprise, to ensure that there are enough to feed the universities

    This should be taken up as a Federal government project. After all investment in children is investment in the future of the country if mobile phones could be bought and distributed to farmers, then these devices can be bought and made available to our kids, with assistance by the state governments

    Children spend quality time face booking, but the contents are mostly on relationships, infatuation, self love etc. they could be redirected to use the equipment to create learning groups, exchange groups, interschool study groups etc

    Time spent on wandering /loitering/idling /games can be studied and findings used to review/improve the project

    Routine screening can be done on street children (with incentives) to evaluate. psychiatric/mental health, to know those already on alcohol, other drugs including hard drugs

    Research—knowledge attitude and perception ( kAP) studies, can also be sponsored to seek out candidates suitable for rehabilitation…it may then be possible to know the extent of their involvement, identity of their social contacts, those being indoctrinated/brainwashed among other benefits. Some parents give no good examples and so the children have a teacher of bad habits in their Mom or Dad

    Intending couples should be encouraged to think seriously about relationships before you go into one, so you don’t end up with unwanted pregnancies.

    Health education, age appropriate should be encouraged in schools, churches and family fellowship.

    Government should also pay more attention to funding in homes for motherless babies and orphanages.

    It is time young girls stopped looking at Europe and America as pure heaven, reality is that they also have their own problems of people feeding directly from the dustbin.

    Parents, churches should to the extent possible monitor what their children are doing in terms of face booking competition, faces simply do not represent human being.

    What about what children are doing and being allowed to do in the different schools? How age appropriate are the messages they are getting? How gender sensitive. What relationship exists between teachers, pupils and students?

    Who and how are records kept? In the Holy Trinity Grammar school of those days, the principal took the matter of children on the street very seriously.

    He took time to ride bicycle and would chase students anywhere they ran, even into bushes and broth them into schools with severe disciplinary measures to serve as deterrent to others. Students were encouraged to go to the school libraries during free periods. Loitering was forbidden because they were used as avenues to dash to the streets

    With the large population of this country, and the presence of vast portions of arable land, the School to land policy which was the brain child of a previous Military Government should be reexamined. Research has shown that more than half of the total number of street boys are secondary school dropouts, and The finance minister has been glad to announce that Non oil exports has now climbed to over 20%, while this is encouraging, poverty and hunger are two conditions which prepare many Nigerian Women(including pregnant women) and children for Malaria to complete the dying process. One sure way of eradicating hunger and perhaps poverty is to pump money into mechanized agriculture, send young people for training in specific areas, remove the fear attached to farming that farmers die young and because they die for subsistence die poor.

    With milking machines, tractors, harvesters, incubators, with research laboratories, there will be enough to eat and family coherence needed to bring children close to their families can be guaranteed. Taking inventories, census of those living secondary schools, of youth corps members will enable proper planning and efficient management of a School to land initiative. It is a reliable way of getting children away from the streets, and reducing the number of children and young adults available for recruitment into various crimes and for trafficking.

    With enough food to eat and sell, female children can have education to what ever level as desired. They will not need to sell their bodies for money, and even if they have to indulge, they will have the capacity to negotiate for safer sex.

    Capacity building is not all about giving loans, that are tied to so many strings that recipients end up getting poorer while the banks declare unbelievable profits, the school to land initiative is a better alternative for those too poor or too young to assess bank loans.

    Governments, National orientation agency and others concerned with the welfare of Children should engage schools, colleges, physicians in family health, child health and pediatrics and support them to carry out research in the problem of street children . Government should bring down the costs of adoption, but do more monitoring once the processes are done with. Relevant agencies can involve social workers in supervision and management of minor conditions.

    Governments can build Science and Technology camps, mechanic, Lap top, and cell phone repair centers in strategic locations, where large groups of street boys congregate. Inventors can emerge from such camps and with positive reinforcement, others can emulate and aspire. Dreams and hope will metamorphose into reality, for the individual and for the family/

    .It is time wealthy individuals, institutions, multinational companies began to show interest in Debates, quiz contest, and other activities that can reward excellence, and make the streets less attractive for children. Setting up football academies like the one by Channels TV organization is a very good one. The boys are playing fantastic foot ball and are likely to draw others of their age away from street life. Someone should try a similar experiment with the girls and you will be amazed. However, not every one plays foot ball, just as we don’t expect every child to know how to play the saxophone, or guitar, but every child needs an education. Those who give out 50 million naira to sponsor birthday parties for strangers in our midst as a way of showing they have money need to spare a few minutes to imagine what one million can do for a home for the motherless, being managed by Catholic missions. These catholic charity organizations will be wondering whether God gave Wealthy Nigerians such retrogressive mindset that we can actually prefer to build more houses abroad than give financial support to the needy, even within extended family systems.

    Churches and religious organizations should encourage activities that teach children to avoid dangerous experiments, avoid attempting to do things they watch and see on television. Church programs for children should include insightful comments and activities on the fear of God, the love and respect for parents, family members and authorities. If Children can not find comfort, assurance and hope in Churches, they will find them on the street, if those telling them to give their lives to Christ hide to engage in anti Christian activities, Children will show that they too can hide and see what goes on in the dark, and if they cant give their lives to Christ, the devil, bacteria and dangerous viruses will all be very happy to take over such lives,

     

  • Pediatrics and child health; in focus: Children of the street and children on the street (4)

    Ogun state has nine registered Universities, the highest of any state in Nigeria, whereas Osun state has four or five .What a proactive enterprise, to ensure that there are enough to feed the universities

    This should be taken up as a Federal government project. After all investment in children is investment in the future of the country if mobile phones could be bought and distributed to farmers, then these devices can be bought and made available to our kids, with assistance by the state governments

    Children spend quality time face booking, but the contents are mostly on relationships, infatuation, self love etc. they could be redirected to use the equipment to create learning groups, exchange groups, interschool study groups etc

    Time spent on wandering /loitering/idling /games can be studied and findings used to review/improve the project

    Routine screening can be done on street children (with incentives) to evaluate. psychiatric/mental health, to know those already on alcohol, other drugs including hard drugs

    Research—knowledge attitude and perception ( kAP) studies, can also be sponsored to seek out candidates suitable for rehabilitation…it may then be possible to know the extent of their involvement, identity of their social contacts, those being indoctrinated/brainwashed among other benefits

    Some parents give no good examples and so the children have a teacher of bad habits in their Mom or Dad

    Intending couples should be encouraged to think seriously about relationships before you go into one, so you don’t end up with unwanted pregnancies.

    Health education, age appropriate should be encouraged in schools, churches and family fellowship

    Government should also pay more attention to funding in homes for motherless babies and orphanages

    It is time young girls stopped looking at Europe and America as pure heaven, reality is that they also have their own problems of people feeding directly from the dustbin.

    Parents, churches should to the extent possible monitor what their children are doing in terms of face booking competition, faces simply do not represent human being

    What about what children are doing and being allowed to do in the different schools? How age appropriate are the messages they are getting? How gender sensitive. What relationship exists between teachers, pupils and students?

    Who and how are records kept? In the Holy Trinity Grammar school of those days, the principal took the matter of children on the street very seriously. He took time to ride bicycle and would chase students anywhere they ran, even into bushes and broth them into schools with severe disciplinary measures to serve as deterrent to others. Students were encouraged to go to the school libraries during free periods. Loitering was forbidden because they were used as avenues to dash to the streets

    With the large population of this country, and the presence of vast portions of arable land, the School to land policy which was the brain child of a previous Military Government should be reexamined. Research has shown that more than half of the total number of street boys are secondary school dropouts, and The finance minister has been glad to announce that Non oil exports has now climbed to over 20%, while this is encouraging, poverty and hunger are two conditions which prepare many Nigerian Women(including pregnant women ) and children for Malaria to complete the dying process, One sure way of eradicating hunger and perhaps poverty is to pump money into mechanized agriculture, send young people for training in specific areas, remove the fear attached to farming that farmers die young and because they die for subsistence die poor. With milking machines, tractors, harvesters, incubators, with research laboratories, there will be enough to eat and family coherence needed to bring children close to their families can be guaranteed. Taking inventories, census of those living secondary schools, of youth corps members will enable proper planning and efficient management of a School to land initiative. It is a reliable way of getting children away from the streets, and reducing the number of children and young adults available for recruitment into various crimes and for trafficking. With enough food to eat and sell, female children can have education to what ever level as desired. They will not need to sell their bodies for money, and even if they have to indulge, they will have the capacity to negotiate for safer sex. Capacity building is not all about giving loans, that are tied to so many strings that recipients end up getting poorer while the banks declare unbelievable profits, the school to land initiative is a better alternative for those too poor or too young to assess bank loans.

    Governments, National orientation agency and others concerned with the welfare of Children should engage schools, colleges, physicians in family health, child health and pediatrics and support them to carry out research in the problem of street children . Government should bring down the costs of adoption, but do more monitoring once the processes are done with. Relevant agencies can involve social workers in supervision and management of minor conditions.

    Governments can build Science and Technology camps, mechanic, Lap top, and cell phone repair centers in strategic locations, where large groups of street boys congregate. Inventors can emerge from such camps and with positive reinforcement, others can emulate and aspire. Dreams and hope will metamorphose into reality, for the individual and for the family/

    .It is time wealthy individuals, institutions, multinational companies began to show interest in Debates, quiz contest, and other activities that can reward excellence, and make the streets less attractive for children. Setting up football academies like the one by Channels TV organization is a very good one. The boys are playing fantastic foot ball and are likely to draw others of their age away from street life. Someone should try a similar experiment with the girls and you will be amazed. However, not every one plays foot ball, just as we don’t expect every child to know how to play the saxophone, or guitar, but every child needs an education. Those who give out 50 million naira to sponsor birthday parties for strangers in our midst as a way of showing they have money need to spare a few minutes to imagine what one million can do for a home for the motherless, being managed by Catholic missions. These catholic charity organizations will be wondering whether God gave Wealthy Nigerians such retrogressive mindset that we can actually prefer to build more houses abroad than give financial support to the needy, even within extended family systems.

    Churches and religious organizations should encourage activities that teach children to avoid dangerous experiments, avoid attempting to do things they watch and see on television. Church programs for children should include insightful comments and activities on the fear of God, the love and respect for parents, family members and authorities. Such programs for children should not be designed to exploit parents, because no matter in what for it is disguised, children have their own ways of knowing what the intentions are. If Children can not find comfort, assurance and hope in Churches, they will find them on the street, if those telling them to give their lives to Christ hide to engage in anti Christian activities, Children will show that they too can hide and see what goes on in the dark, and if they cant give their lives to Christ, the devil, bacteria and dangerous viruses will all be very happy to take over such lives,

    We need Stronger Parents Teachers Associations (PTA) is in our Schools and colleges, where office holders –at least some of them have children in the schools they oversee. Policy makers should also have their children in the schools. Situations exist where female school children are made to go out and look for water in school compounds where there are boys known to belong to the class of children on the street. These innocent girls who are either sent to fetch water or throw dust bins can be enticed with in many ways by these boys hanging around the school premises for just such opportunities so as to give vent to their dangerous feelings. One wonders why people entrusted with oversight functions only pay visits and do so without giving pupils and students the opportunity to share their experience concerning health, safety and environment. When cases of rape are discovered under conditions such as stated above, parents are usually very reluctant understandably to expose their children to the associated negative publicity and the stigma slapped on victims of rape. School authorities report cases late, when if there was transmission of infection, it will have gone past the incubation period. Take the issue of HIV/AIDS for instance, which has incubation period between eight weeks and ten years; bringing a rape victim to the clinic three days after the incidence is useless, except if it is done to have a record of the status of the victim. Similarly, going to the Doctor two weeks after the incidence so you can get a Medical report for the Police are unhelpful over 80% of the forensic evidence would have been lost. Moreover, giving antiretroviral drugs after twenty four hours does not guarantee even up to 40% destruction of the pool of invading viruses. From all these, it should be apparent that every thing humanly possible should be done to either keep young female students in boarding schools away from street children or avoid situations where these little girls are forced into situations where they have no choice. Most of these children are easily frightened when they realize their parents are hundreds and thousands of kilometers away and phones are forbidden.

  • Pediatrics and child health; in focus: Children of the street and children on the street (3)

    Pediatrics and child health; in focus: Children of the street and children on the street (3)

    Children of mentally ill parents may end up as street children when they are unable to get adequate assistance to help them carry the burden of care, this added to the fact that mental illness on its own can either be inherited or acquired

    Working parents often leave their kids with members of the family who may not be responsible enough to prevent the kids from straying away

    Street children are often characterized by poor housing, unfenced living quarters, slums and excessively permissive parents

    Where orphanages are abandoned by governments, you have rigid and expensive adoption conditions, potential parents are scared away . Where there is insufficient background check, poor or inadequate supervision of foster care, any thing is possible

    Family conditions may be such that there is enough to go round but not socially conducive; two situations can help readers appreciate this; wife inheritance one involved sudden death of a husband and the inheritance of the widow by a 12 year old boy child, who was living with the family at the time. All normal coping mechanisms broke down and at a point, children who saw their mom as not worthy of respect began as children of the street and later of the street. In the second situation, a polygamous man had 21 children through 5 wives, the children grew up mostly dependent on what their moms could provide, and nearly all ended as street children

    Abusive parents, uncles, single parents, abusive foster parents, and others too busy to look after children create multiple avenues for children to abandon homes for the streets. Others include excessively permissive parents, marital disharmony where a mother habitually tries to override decisions taken by the head of the family.

    In other situations, weak or inactive parents teachers association (PTA), principals and school heads too harsh to reach either by parents, pupils or students, could make it difficult to effectively monitor activities of children particularly those in boarding schools

    Some local trafficking in humans involves trading in house helps who move from one house to another in different locations at times working with street children to steal from unsuspecting employers. Most of them end up becoming vagabonds and carriers of sexually transmitted agents.

    Street trading, begging or hawking is a common feature on the streets, in poor communities of the world communities Poor or low risk assessment of personal dangers, in association with low level of education, especially health education is common amongst parents, guardian and children involved in street trading. However for poor families it is the only way to survive economic troubles; affected children may become attracted to the freedom and adventure denied by regimented conditions at home.

    Health problems………..

    In addition to the issues analyzed so far, Health problems classifiable into physical, mental social, environmental, and psychosocial to effectively capture the extent of the problem and the solution have been recognized; Children on the street are exposed to all sorts of diseases from Malaria(merciless mosquito bites), Staphylococcus and Salmonella food poisoning from contaminated food and drinks, sexually transmitted diseases such as, HIV/AIDS, Hepatitis, B and C, Syphilis, Cancroids, Herpes and Gonorrhea.

    Concerning environmental hazards, water is a major problem for street children and so they drink from sources likely to be contaminated with metals such as Lead, Cadmium, and Arsenic. These will eventually cause damage to organs like the kidneys, brain and liver. Those using mechanic workshop as dwelling places are exposed to petroleum products, metals have been implicated in tumors and street children run the risks of developing cancer of the skin, bladder and liver later in life.

    Physical health status of street children can be influenced by many variables; in all, children on the street can act as Infection Bridge, bringing diseases from the street to the homes while children of the street can slip into homes to visit friends when everyone is not paying attention. They also are at risks of direct injury that can break bones of hands, legs, teeth and skull from getting into fights. Violent death can also come very quickly from being run over by motor vehicles or falling from heights. Being caught and flogged can leave telltale marks that can be seen mostly on the extensor (back surfaces) of the upper limbs- arms and forearms.

    Frequent micturition with mild biting pain as a child urinates, offensive or very bad vaginal odour, with lower abdominal pay may give away the presence of genitourinary tract infection in the girl child. She may sleeping on her feet, excessively drowsy , wanting to be left alone , unable to take any thing by mouth, or even vomiting if pregnancy has come in. Purulent discharge (pus with or without urine) from the penis with agonizing pain (evidence of infection, urethritis) may make the boy child hide away from parents to urinate.

    For street children, the risk of acute disease conditions, developing to become chronic is very high and because they have no money, tendency is to buy a few drugs, e.g. assuming a street child contracts gonorrheal infection, he is not likely to panic, but will go to a patent medicine shop for treatment which in most cases is subclinical paving the way for the infection to become chronic , A young Medical student knowing what structures could be at risk will rush to the Venerology Clinic, undergo medical examination, and lab tests which will assist a Physician to administer drugs that will clear the bacterium within days. For the girl child of the street.the reproductive career can be permanently damaged by a single episode of poorly treated gonorrheal infection. Syphilis could also progress from primary through damage to the heart and the third stage where there is damage to the brain (GPI) which may be irreversible.

    Water borne, and water associated diseases are common problems with street children, because access to water is a major problem, they are prone to skin diseases, acute and chronic diarrheal diseases, frequent mouth infections, vaginal yeast infections, pelvic inflammatory disease (PID).

    Food poisoning occurs frequently manifesting with diarrhea, and vomiting because street children may be forced to eat from dust bin and drink contaminated water.

    Rape, prostitution, early marriage, teenage pregnancies, baby motherhood are some of the problems associated with street children, victims of child trafficking, sex slavery and rape also become victims of stigma, may develop psycho social problems and may find it difficult to live normal lives. Inhabitants of the street don’t operate in a vacuum. Older children of the street organize themselves into gangs, you must belong to a gang, once you enter the street, involvement in drug use, and hard drugs may start with alcohol and cigarettes and then someone graduates to others that will see him dive into many others with little or no will power to fight addiction. Currently street children consume large quantities of cough mixture, antidepressants, and anabolic steroids to make themselves stronger, assuming false optimism.

    Suggestions

    First is to make the streets less attractive for street children at different levels. Family, community, local governments, State and the Federal governments.

    Practical steps to provide basic necessities of life, such as food, water, and electricity.

    If there is no electricity in the homes most of the time, and there is a place where a small generating set can provide light at the cost of a bottle of drink, a street child will jump out.

    There has been much talk about how badly the standards of education have fallen, without any reasonable or concrete steps to address the condition.

    The recently launched Governor Aregbosola child education project, should be adopted by the Federal government as a sustainable policy for child empowerment development and education.

    The benefits are numerous; It will make the school more attractive and the streets less so.

    It is indeed very timely going by the possibility of making JME an e exam by 2015.

    The governor perhaps gave more devotion to how the problem of our technological stagnation can be solved at the first rungs of the academic ladder. How they can be empowered to learn , build up individual capacity to pass requisite exams and move on to greater heights, at the same time spreading the good hope, not all for the rich as usual but for every one, the arrangement makes provision for continuity and healthy competition

     

     

     

     

     

     

     

    Ogun state has nine registered Universities, the highest of any state in Nigeria, whereas Osun state has four or five .What a proactive enterprise, to ensure that there are enough to feed the universities

    This should be taken up as a Federal government project. After all investment in children is investment in the future of the country if mobile phones could be bought and distributed to farmers, then these devices can be bought and made available to our kids, with assistance by the state governments

    Children spend quality time face booking, but the contents are mostly on relationships, infatuation, self love etc. they could be redirected to use the equipment to create learning groups, exchange groups, interschool study groups etc

    Time spent on wandering /loitering/idling /games can be studied and findings used to review/improve the project

    Routine screening can be done on street children (with incentives) to evaluate .psychiatric/mental health, to know those already on alcohol, other drugs including hard drugs

    Research.—knowledge attitude and perception ( kAP) studies, can also be sponsored to seek out candidates suitable for rehabilitation…it may then be possible to know the extent of their involvement, identity of their social contacts, those being indoctrinated /brainwashed among other benefits

    Some parents give no good examples and so the children have a teacher of bad habits in their Mom or Dad

    Intending couples should be encouraged to think seriously about relationships before you go into one, so you don’t end up with unwanted pregnancies.

    Health education, age appropriate should be encouraged in schools, churches and family fellowship

    Government should also pay more attention to funding in homes for motherless babies and orphanages

    It is time young girls stopped looking at Europe and America as pure heaven, reality is that they also have their own problems of people feeding directly from the dustbin.

    Parents, churches should to the extent possible monitor what their children are doing in terms of face booking competition, faces simply do not represent human being

    What about what children are doing and being allowed to do in the different schools? How age appropriate are the messages they are getting? How gender sensitive. What relationship exists between teachers, pupils and students?

    Who and how are records kept? In the Holy Trinity Grammar school of those days, the principal took the matter of children on the street very seriously. He took time to ride bicycle and would chase students anywhere they ran, even into bushes and broth them into schools with severe disciplinary measures to serve as deterrent to others. Students were encouraged to go to the school libraries during free periods. Loitering was forbidden because they were used as avenues to dash to the streets

    With the large population of this country, and the presence of vast portions of arable land, the School to land policy which was the brain child of a previous Military Government should be reexamined. Research has shown that more than half of the total number of street boys are secondary school dropouts, and The finance minister has been glad to announce that Non oil exports has now climbed to over 20%, while this is encouraging, poverty and hunger are two conditions which prepare many Nigerian Women(including pregnant women ) and children for Malaria to complete the dying process, One sure way of eradicating hunger and perhaps poverty is to pump money into mechanized agriculture, send young people for training in specific areas, remove the fear attached to farming that farmers die young and because they die for subsistence die poor. With milking machines, tractors, harvesters, incubators, with research laboratories, there will be enough to eat and family coherence needed to bring children close to their families can be guaranteed. Taking inventories, census of those living secondary schools, of youth corps members will enable proper planning and efficient management of a School to land initiative. It is a reliable way of getting children away from the streets, and reducing the number of children and young adults available for recruitment into various crimes and for trafficking. With enough food to eat and sell, female children can have education to what ever level as desired. They will not need to sell their bodies for money, and even if they have to indulge, they will have the capacity to negotiate for safer sex. Capacity building is not all about giving loans, that are tied to so many strings that recipients end up getting poorer while the banks declare unbelievable profits, the school to land initiative is a better alternative for those too poor or too young to assess bank loans.

    Governments, National orientation agency and others concerned with the welfare of Children should engage schools, colleges, physicians in family health, child health and pediatrics and support them to carry out research in the problem of street children . Government should bring down the costs of adoption, but do more monitoring once the processes are done with. Relevant agencies can involve social workers in supervision and management of minor conditions.

    Governments can build Science and Technology camps, mechanic, Lap top, and cell phone repair centers in strategic locations, where large groups of street boys congregate. Inventors can emerge from such camps and with positive reinforcement, others can emulate and aspire. Dreams and hope will metamorphose into reality, for the individual and for the family/

    .It is time wealthy individuals, institutions, multinational companies began to show interest in Debates, quiz contest, and other activities that can reward excellence, and make the streets less attractive for children. Setting up football academies like the one by Channels TV organization is a very good one. The boys are playing fantastic foot ball and are likely to draw others of their age away from street life. Someone should try a similar experiment with the girls and you will be amazed. However, not every one plays foot ball, just as we don’t expect every child to know how to play the saxophone, or guitar, but every child needs an education. Those who give out 50 million naira to sponsor birthday parties for strangers in our midst as a way of showing they have money need to spare a few minutes to imagine what one million can do for a home for the motherless, being managed by Catholic missions. These catholic charity organizations will be wondering whether God gave Wealthy Nigerians such retrogressive mindset that we can actually prefer to build more houses abroad than give financial support to the needy, even within extended family systems.

    Churches and religious organizations should encourage activities that teach children to avoid dangerous experiments, avoid attempting to do things they watch and see on television. Church programs for children should include insightful comments and activities on the fear of God, the love and respect for parents, family members and authorities. Such programs for children should not be designed to exploit parents, because no matter in what for it is disguised, children have their own ways of knowing what the intentions are. If Children can not find comfort, assurance and hope in Churches, they will find them on the street, if those telling them to give their lives to Christ hide to engage in anti Christian activities, Children will show that they too can hide and see what goes on in the dark, and if they cant give their lives to Christ, the devil, bacteria and dangerous viruses will all be very happy to take over such lives,

    We need Stronger Parents Teachers Associations (PTA) is in our Schools and colleges, where office holders –at least some of them have children in the schools they oversee. Policy makers should also have their children in the schools. Situations exist where female school children are made to go out and look for water in school compounds where there are boys known to belong to the class of children on the street. These innocent girls who are either sent to fetch water or throw dust bins can be enticed with in many ways by these boys hanging around the school premises for just such opportunities so as to give vent to their dangerous feelings. One wonders why people entrusted with oversight functions only pay visits and do so without giving pupils and students the opportunity to share their experience concerning health, safety and environment. When cases of rape are discovered under conditions such as stated above, parents are usually very reluctant understandably to expose their children to the associated negative publicity and the stigma slapped on victims of rape. School authorities report cases late, when if there was transmission of infection, it will have gone past the incubation period. Take the issue of HIV/AIDS for instance, which has incubation period between eight weeks and ten years; bringing a rape victim to the clinic three days after the incidence is useless, except if it is done to have a record of the status of the victim. Similarly, going to the Doctor two weeks after the incidence so you can get a Medical report for the Police are unhelpful over 80% of the forensic evidence would have been lost. Moreover, giving antiretroviral drugs after twenty four hours does not guarantee even up to 40% destruction of the pool of invading viruses. From all these, it should be apparent that every thing humanly possible should be done to either keep young female students in boarding schools away from street children or avoid situations where these little girls are forced into situations where they have no choice. Most of these children are easily frightened when they realize their parents are hundreds and thousands of kilometers away and phones are forbidden.

     

     

     

  • Pediatrics and child health; in focus: Children of the street and  children on the street (2)

    Pediatrics and child health; in focus: Children of the street and children on the street (2)

    Last week I tried to put a definition on the phrase “street children’, tried’ because it has not been easy finding the most appropriate definition -in addition to what was provided last week it might be necessary to add, that street children are usually below the age of 18 years, and are those who for quite some time have made the streets, not only places where they live, eat and play ,but also areas, or structures where these children do some minor work related activities . It also important to stress that in all these, they (the children) are neither protected nor supervised by visible and well known adults. The issue is generating concern for experts and professionals in pediatrics, public and child health, because of the numerous problems associated with different categories of street children. Beyond that, recent events in the social and family history of this country have tended to make street life more attractive to even children who have been given the opportunity to go to school. It is easy to understand that as the pools of street children continue to enlarge, patterns of antisocial behavior previously unheard of will begin to declare themselves. Some of the children involved in heinous criminal activities these days are so young and fragile that you are forced to question their sanity. Juvenile delinquency in whatever shape or form indeed threatens National progress and so if we pretend that street children don’t amount to anything, we should expect additional variants of street children who will be specializing in different shades of crime and acting as bridges or social networks of infections across different populations,- urban, suburban and rural. On the other hand, criminals have gone from trafficking in hard drugs to selling female children as sex slaves, with consequences such as teenage pregnancy, criminal abortion, septic abortion, infanticide etc

    For the girl child, street life is particularly traumatic, and the jeopardy is multidimensional;

    ..The street girl child does not have the capacity (as a result of extreme poverty) to negotiate for safer sex (with use of condom)

    ..for reason of age, ( young vaginal epithelium not like the stratified squamous type found in the older woman), her external reproductive tract is easily damaged with consequent formation of entry portals for infectious agents such as, syphilis, hepatitis B, human papilloma virus(HPV) and the HIV/AIDS

    …..Because of ignorance the girl child may not seek medical help on time; she becomes a reservoir as well as a persistent source of infection for very many people

    Street children as has been agreed can be placed in two broad categories; those who are more or less permanently away from homes (children of the street) and those who return to their homes to sleep.

    Characteristics:

    Children of the street

    Tend to have shifty restless eyes, with a tendency to rotate to opposite corners. They try to size you up, as if to look beyond you into your brain. Older ones are unusually secretive or unusually quiet, because they develop what is referred to as thought broadcast, in which they feel every one is aware of what they do in their hide outs

    They are unkempt, because lack of access to clean water is a major problem predisposing them to various skin diseases.—ring worm (Tinea capitis, corporis), boils, ulcers, lice , etc

    Children of the street have a very high tendency to become quickly aggressive and have the skill to weaponize any thing from spoons, teeth, bones and bottles. They will steal and sell any thing and often die from accidental poisoning Those who survive long enough into adult hood may develop kleptomania later with difficulty in rehabilitation even after conditions have improved.

    Children on the street

    These are mostly children who spend most of their day time periods on the street and retire to various homes during the nights, the homes could be where their parents, or parents of friends reside or where uncles, aunties or other relations reside, and where they are likely to have greater avenues to sneak out at will to the streets. At times the distinction between these two categories of street children is blurred, because a child of the street can find a roof over his or her head sometime either as a criminal apprentice, a house boy or a live- in lover, whereas some children on the street can equally decide for various reasons to run away from homes and to become children of the street

    In both categories there are usually more males than females because females are in general less likely to demonstrate ambivalence when it comes to issues of personal danger. The consequences of street life are more dangerous for females, a factor which may have influenced the level of perception and the length of time spent as a street child. A girl child who sees unwanted pregnancy in an older sister may conclude that person got herself into the mess by going outside the supervision of their mother, she may then prepare herself to act or behave in ways that will not make her pass through that road.

    Characteristics

    Children on the streets, look or appear like normal home children, but will have some of the features of the children who are more or less permanently outside the House. They will have wounds , which may be concealed from parents, and cases have been seen of wounds badly infected with Tetanus; such children die not because parents couldn’t afford medi care but because the child lived on the street, away from the care and protection of parents and siblings .Sexual aggression will not be as evident as in the child on the street, the eyes will be shifty, and because the mind is heavy, will avoid meeting eyes of Mom .There will be heightened tendency to avoid Dad, because someone of father figure status has been discovered on the street. Antisocial attitude towards sisters and brothers will manifest as soon as the child on the street assumes he has secured a place of recognition on the street, especially when as part of the need for physical build up and readiness to engage in physical combat at all times, the child on the street will after a short while have begun to display male dominance type aggression, and so will try get into physical combat with siblings. The child on the street, especially the older ones(12-18)years may engage in sexual advances directed against older females in the family , There is a tendency for a boy who spends reasonable periods of time on the street with little or no communication with parents to see his mother in sexual context as just another woman . Most importantly, households with bigger and older house keepers or house helps may be in trouble when such girls or women take advantage of this to sexually abuse children who spend much time on the streets .The child on the street will steal money, materials as well as vital information from home and be ready to sell them for money or position, in which case he or she puts the family in great danger. Parents discussing delicate business transactions stand the risk of dropping hints that can be passed on to criminals.

    Street children will come home when they expect no one or very few people at home. They could also be coming home only when they are things to remove. For older ones, coming home in agitated states could portend serious personal danger from the streets; perhaps he has been marked for a life threatening punishment.

    Problem background

    Many issues interact to generate street children. These are enumerated as here under;

    Sudden loss of one or both parents can be very traumatic indeed. Usually when this occurs, kids are shared out or forced to go and live with members of the family-no formula is needed, and background check on the social history of new parents are overshadowed by the urgent need to ensure that hungry mouths find food to eat; Such children then become the subject of abuse, when ever there is marital hiccups (transferred aggression) or when there is not enough to go around. With time, the kids become confident and begin to go to the streets(children on the street), and if conditions don’t improve, graduate to children of the street, with greater freedom, including freedom to drink alcohol, smoke Indian hemp, sniff cocaine and end up in Neuropsychiatric Hospitals

    Some parents bring up their kids only up to certain age and simply ask them to leave the and go fend for themselves because two many men and women can’t comfortably live in one house.

    The traditional preference for male sex favors male children who then get more of everything. A girl child could take this to the extreme and begin to take to the streets if mom is seen to demonstrate the same bias. The girl child seeks and finds love on the streets and jumps into the arms of someone who ends up being a street gangster and the result could be very sad, – the vicious cycle is completed when she ends up with an unwanted pregnancy, becomes a baby mother and yet has no idea whatsoever how to bring up a child in terms of good moral support and education.

  • Pediatrics and child health; in focus:Children of the street and children on the street

    Perhaps as a result the tormenting whiplash of world economies, the world population of street children is on the increase. The situation is worse in some developing countries where religion and culture are structured in such a way as to celebrate early marriage, polygamy and polyandry ,and where majority of people impugn any suggestions about family planning. In fact, it is well documented that in some parts of Nigeria, certain tribes have completely shunned all aspects of medical advice, especially advice dwelling on the unpredictable dangers of any woman having children in excess of five ,and into old age. In these tribes there is strong support and encouragement for elaborate celebrations of parity , during which chieftaincy titles are bestowed on women who have had up to ten children and even more.

    When children decide to leave the protection of parents and guardian to become street children, they are often unaware of the dangers they face, and may be persistently encouraged by peer groups, either from the school or neighborhood. On the other hand ignorance, confused religious background and lack of education all orchestrate to blind such children to the understanding that freedom, no matter how sweet, comes with a huge price. At times some children simply walk out from homes without any one bothering to do any thing, Parents, guardian and the children themselves are ill prepared for the medical consequences associated with life as street children, and the realization comes too late, perhaps in adulthood that concerning infectious diseases, once contracted, the child either succumbs within a short while or spends the rest of his life as a burden, sometimes endangering the lives of others. Children of today are very different from those of the recent past, and of course we don’t know what pattern of behavior to expect of children of tomorrow, but we can predict adult behavioral patterns from what is seen in today’s children. Children in the rural areas in the past were less mobile and more God fearing, but with the emergence of the internet, many of them are now face booking and the difference between street children in rural settings and those in cities has narrowed. Two major issues worthy of consideration are extreme poverty and hunger, recognized in goal six of the MDGS. Long term solutions to majority of the social problems facing us today can be found by honestly and conscientiously looking at how we came to have a high proprtion of street children comparable to India. In doing so let us not forget that recently Nigeria was rated top as the worst place on earth to be born. Whatever the indices, the basic and elementary prescription of good Christianity should moderate our thinking. Given that it is difficult to monitor every born child from infancy through adolescence to adulthood, the question remains whether as parents, uncles, aunties, guardian, school heads, teachers, governments and churches, we have done what is humanly possible to keep children in good health with regards to their physical, social, mental and educational well being. The social aspect has to do with religion and we also need to examine how well we have obeyed the religious injunction-” love one another, do unto others as you would have them do unto you”.

    As a child, occasions meant much to me especially those that involved educational activities. Unlike what obtains today, children were kept very busy. there were quiz contests(schools challenge), and I recall with nostalgia, the musical voice of Mr. Allison Mesango, of the then Bendel state quiz Board, announcing the schools and names of participating students to herald the commencement of contests.

    There were literary and debating societies and we were challenged to recite off hand certain portions of such juicy novel s as “The merchant of Venice”, “Macbeth” “The Lion and the Jewel”, “Weep not Child”, “The Concubine”, Things fall apart” “No longer at ease” and very many others… What ever new book came out in any of the sciences we had to quickly read up so we could be in stronger academic balance to debate. Children’s days were celebrated with some forms of academic activities; children were placed in groups to take part in role plays, drama sketches, recitation etc according to performance .Every one was fulfilled. On one of those occasions, I was taken to the Local Government Head quarters to take part in an essay competition as part of the events to celebrate Children’s day, and to be best of my knowledge the topic “juvenile delinquency, a threat to National progress” was announced at the venue, when we had all sat down. Though I did not know to a great extent what it was all about ,I was in familiar terrain, and found the whole exercise very interesting. I was happy when later I was called out in the assembly after morning devotion to receive a price; it was a novel, an allegorical poem cum prose written by kofi Awoonor, a Ghanaian. It was an experimental novel and to this day it remains the most awe inspiring piece of work I have been blessed to receive. In class three then and with all the pressure of adolescence, my best book was the wonderful “common prayer book”; a real treasure, and one that made it more comfortable for me then to more effectively blend with Church Choir sessions under the unforgettable supervision and mentorship of Emmanuel Ohireimen Orhewere. I very quickly added my book price “this earth my brother” to the Common prayer book and for a very long period struggled to meaning out of it.

    Though I was later to win other much cherished novels including the ones written by wole Soyinka, Elechi Amadi, Vincent Ike and a very beautiful one by Onaiwu Osahon, I recall that the novel- This Earth my brother helped me, as a child to think in terms of deductions, innuendos ,and the abstract . Together with my common prayer book and the Holy Bible I had enough tangible tools for brain exercise. That way I was in a better position to appreciate psychic conflicts, internal and external, and to decide for my self which ways of life were safer , purposeful or rewarding; which ones were capable of improving my felling of self worth or eroding it altogether. Today children face crises of enormous dimensions, less than 10% can actually be held responsible for their problems as deviants, un teachables, delinquents and miscreants; for another 60%, the blame rests on parents who brought them into the world in large numbers and yet with no plans whatsoever to take adequate responsibility for their care , not to forget the very corrupt societies that formulate policies with no plans to honestly implement them

    As the pools of street children continues to enlarge, there is no limit to the dangers they face, the dangers they constitute to society and the magnitude of the medical and social burden the society will continue to carry .

    Who are street children?

    Street children are boys or girls who have found and made certain places within and outside their homes, regular means of livelihood and habitation. They do so with or without supervision and protection from known adults. Street here includes, structures like motor vehicles in motor parks or auto mechanic workshop, such places as Railway stations, uncompleted buildings, under over head bridges ,inside cartons on roadsides, school premises and even benches around wooden shops of security guards .There are several classes of street children but the two commonly used ones are; children of the street and children on the street.

    Children of the street. Street children of this category spend most of their time daily and habitually on the street, often living in situations so fluid that they can be only some few yards away from the home of a known family member and yet difficult to trace because they be spending nights in one street while in the day time they are busy in another street. These children usually have no moral awareness and family support is either absent or grossly inadequate. They are entirely on their own. Children of the street can be further divided on account of age into senior and junior categories with the senior providing direction, protection and in some cases medical attention by way of bringing out money to buy drugs from medicine shops or taking the ill to herbal centers . Senior street children may own properties to attract younger ones, and may in some cases as seen in the “Area boys organizations organize themselves into some kind of hierarchical system . This may be of benefit to those involved but could encourage the formation of street gangs

     

    To be continued