Though Babatunde Fashola, affectionately often called Baba, is 22 years outdated, he’s lower than 70cm (2ft 4in) tall.
He has cerebral palsy and requires lifelong care. He can neither communicate nor stroll and is fed through a tube connected to his abdomen.
As a child, he was deserted by his dad and mom however 10 years in the past, he discovered a house on the Cerebral Palsy Centre within the Nigerian metropolis of Lagos.
“Baba weighs about 12kg [26lb]. He’s doing nicely,” the power’s founder, Nonye Nweke, tells me once I go to.
Ms Nweke and her employees work across the clock to help him and different children residing with everlasting mind harm.
Though there’s a lack of official information, cerebral palsy is believed to be one of the widespread neurological problems in Nigeria. In 2017, a medical professor from the College of Lagos mentioned 700,000 folks had the situation.
For a lot of of these residing with cerebral palsy within the nation, their situation was attributable to a typical phenomenon amongst newborns – neonatal jaundice.
That is attributable to a build-up of bilirubin, a yellow substance, within the blood, which means the infants’ skins have a yellow tinge.
Professor Chinyere Ezeaka, a paediatrician on the Lagos College Instructing Hospital, tells the BBC that greater than 60% of all infants undergo from jaundice.
Most infants recuperate inside days. Extra extreme instances want additional medical intervention – and even then the situation is well treatable.
Kids are principally uncovered to ultra-violet mild to dissolve the surplus bilirubin of their pink blood cells. The therapy lasts a number of days relying on the severity.
Nonetheless, in Nigeria this therapy is usually not instantly accessible, which is why the nation is among the many 5 with essentially the most neurological problems attributable to untreated jaundice on the earth, in accordance with information from the World Well being Group (WHO).
Any therapy for neonatal jaundice “should happen inside the first 10 days of life, else [the condition] may trigger everlasting mind harm and extreme cerebral palsy”, says Prof Ezeaka.
To make issues worse, the West African nation lacks amenities to look after these with neurological problems. There are simply three cerebral palsy centres, all privately run, in Nigeria, which has a inhabitants of greater than 200 million.
Ms Nweke – a single mom – arrange the Cerebral Palsy Centre after struggling to seek out help for her personal daughter, Zimuzo.
“Once I took her to a day-care [centre], they requested me to take her again as a result of different moms would withdraw their youngsters. As a mum, I have to say it was fairly devastating,” Ms Nweke tells the BBC.
Zimuzo is now 17, and Ms Nweke’s Cerebral Palsy Centre supplies full-time help for others with related experiences.
On the day I go to, vibrant playtime mats and toys are neatly organized on the ground. Mickey Mouse and his mates converse on a wide-screen tv within the lounge.
Twelve children, some as younger as 5, gaze on the TV, their shiny setting ignored for a second. They’re all motionless and non-speaking.
At lunchtime, caregivers assist the children eat. Some soak up liquified meals by way of tubes connected to their stomachs.
Fastidiously and slowly, the carers help their heads with pillows and push the contents of their syringes into the tubes.
The kids are fed each two hours and require common muscular massages to forestall stiffness.
However they’re the fortunate 12 receiving free care from the Cerebral Palsy Centre, which is funded completely by donors.
The ability has an extended ready listing – Ms Nweke has obtained greater than 100 functions.
However taking over extra children would require additional monetary help. The price of caring for somebody on the centre is at the very least $1,000 (£790) a month – an enormous quantity in a rustic the place the nationwide minimal wage is about $540 a yr.
“As a mum, I have to say it is fairly overwhelming. You may have moments of despair, it provides you heartaches and it’s fairly costly – in actual fact it is the costliest congenital dysfunction to handle,” Ms Nweke says.
“After which in fact, it retains you away from folks since you do not focus on the identical issues. They’re speaking of their infants, strolling, having fun with these child moments. You aren’t doing that. You’re unhappy,” she provides.
Ms Nweke explains that she adopted Zimuzo from an orphanage.
A number of months after taking her new daughter house, Ms Nweke realised Zimuzo was not creating in the identical means as the youngsters round her had been. She was assessed at a hospital and identified with cerebral palsy.
Ms Nweke was advised she may take Zimuzo, who was then simply a number of months outdated, again to the orphanage and undertake one other child as a substitute, however she refused.
“I made a decision to maintain her and I started researching what the dysfunction was about, the therapy and kind of care my youngster would want – she’s my life.
“I used to be additionally advised by the docs she will not dwell past two years. Nicely right here we’re – 17 years later,” says a smiling Ms Nweke.
A lack of expertise and satisfactory medical help hinders the prognosis and therapy of neonatal jaundice in Nigeria.
Ms Nweke additionally says the widespread native perception that youngsters with congenital problems are spiritually broken or bewitched results in stigmatisation.
Some youngsters with neurological problems – principally in Nigeria’s rural areas – are labelled witches. In some instances, they’re deserted in prayer homes or solid out of their households.
Ms Nweke will not be alone in her mission to dispel myths and enhance care.
The Oscar Challenge – a charity geared toward bettering the prognosis and therapy of neonatal jaundice – lately started working in Lagos.
The venture is known as after Vietnamese-born British incapacity advocate, Oscar Anderson, whose untreated jaundice induced his cerebral palsy.
“We’re equipping well being amenities on the main, secondary and tertiary ranges with the gear to deal with jaundice, primarily mild containers, but in addition detection and screening gear,” Toyin Saraki, who oversaw the launch, tells the BBC.
Challenge Oscar, backed by shopper well being agency Reckitt, is coaching 300 well being staff in Lagos. The hope over the primary yr is to succeed in 10,000 moms, display screen 9,000 youngsters and introduce new protocols to try to stop infants with jaundice from creating cerebral palsy.
In a rustic the place the general public well being system is overstretched, the federal government has little to say concerning the dysfunction, though it lauded the Oscar venture’s objectives.
Therapy for neonatal jaundice is considerably cheaper than the price of lifelong care, docs say.
First launched in Vietnam in 2019, Challenge Oscar has helped about 150,000 youngsters within the Asian nation.
Mr Anderson, 22, says he desires to forestall different youngsters experiencing what he has been by way of.
“Folks with disabilities are to not be underestimated,” he tells the BBC.
He’s working to make sure screening for each new child toddler for neonatal jaundice, and, with the help and braveness of mums, midwives and medical professionals, guarantee there’s higher understanding and faster therapy.
Nonetheless, reaching it is a vastly bold purpose in Africa’s most-populous nation, the place hundreds of infants are born annually with neonatal jaundice.
Regardless, Mr Anderson is decided to defy the percentages.
“The work does not cease till each child is protected towards neonatal jaundice,” he says.