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Maya farmer Leonardo Puc shows an achiote seedling, whose seeds give colour and flavour to a variety of Mexican food recipes, in a cornfield in the municipality of Tadhziú, in the southeastern state of Yucatán. Image: Emilio Godoy / IPS

By Emilio Godoy
CHACSINKIN, Mexico, Nov 25 2024 (IPS)

María Bacab, a Native Maya, considers herself the “guardian of seeds” as she cares for the milpa – an ancestral Mesoamerican polyculture that mixes maize, beans, squash and other vegetables – and promotes its practice and use in Mexico.

“I worked with my parents since I was a little girl, I learned with them. The milpa is a benefit, because we don’t buy corn. I like it, because we’ve been doing it since we were children,” she told IPS in the community of X’box (the black one, in the Mayan language), in Chansinkin, a municipality in the state of Yucatán, southeastern Mexico.

The peasant farmer combines family care work with agriculture. After cooking breakfast and taking her children to school, Bacab, 41, who is divorced and has seven children, works on her one-hectare plot of land, returns at 11 a.m. to care for her children who go to secondary school, and then goes back to planting.

Each year, she grows 750 kilograms of grain for her own use, raises a pig, a native species of this Mexican region, and weaves hammocks to supplement her income. Her three eldest children help on the plantation.

Bacab is the only woman in a group of 11 milpa producers in X’box who store and exchange seeds. They select the best and save them for a year, which prepares them for shortages or losses due to flooding or droughts. The municipality has at least two seed banks .

Each farmer in the group plants different varieties, so that multiple maize options persist, including several drought-resistant ones, and some have hives for sale and self-consumption. They have adopted seeds from the southern state of Chiapas, and theirs have reached neighbouring Campeche, with which they share the Yucatan peninsula.

The peninsula is home to the majority of the Maya population, one of Mexico’s 71 indigenous groups and one of the most culturally and historically representative.

Maize is not only a native and predominant crop in Mexico, but a staple product in the diet of its 129 million inhabitants that transcends the culinary to become part of the country’s cultural roots, linked to the native peoples.

At harvest time, generally from January to March, the furrows of the cornfield are bright with green canes, from which the ears of corn hang waiting for the harvesting hand. From their rows will come the grains that end up in dough, tortillas (flat breads made from nixtamalised grain), atoles (thick drinks) and various other dishes.

Mexico’s three million corn farmers plant around eight million hectares, of which two million are for family use, in a country that has 64 varieties of the grain, 59 of which are native.

Mexico is the world’s seventh largest producer of maize, the world’s most widely grown cereal, and its second largest importer. It harvests some 27 million tonnes annually, but still has to import another 20 million tonnes to meet its domestic consumption.

As in the rest of the country, the milpa is key to the diet in the municipality of Chansinkin. Inhabited by 3,255 people, nine out of 10 were poor and one third were extremely poor in 2023.

Mayan farmer Ricardo Piña grows 14 varieties of maize, and stores the seeds for future planting and exchange, in the community of X’box, municipality of Chacsinkin, in the state of Yucatán, southeastern Mexico. Image: Emilio Godoy / IPS

Seeding the future

The Milpa para la Vida project, implemented by the US non-governmental organisation Heifer International since 2021, with funding from the US-based John Deere Foundation, promotes the improvement of milpa collectives such as the one in X’box.

The initiative is one of several in Yucatán that seeks to defend the territory and offer economic options in rural areas.

It aims to increase incomes by at least 19%, milpa productivity by at least 41%, and the amount of land under sustainable management by 540 hectares among participating farmers in 10 communities from Yucatán and two others in Campeche.

Since 2021, the project has benefited 10,800 people and the goal is to reach 40,000 by 2027.

Demonstration plots have achieved a production of 1.3 tonnes of maize per hectare, through agroecological practices such as the use of native seeds and biofertilisers, compared to the 630 kilograms harvested in 2021 with conventional practices.

But constraints remain, such as the application of pesticides and fertilisers donated by the Ministry of Agriculture.

Mayan farmers check a milpa, an ancient system of polyculture of maize, beans, squash and other vegetables that has spread from Mexico throughout Mesoamerica, in the municipality of Tadhziú, Yucatán state, in southeastern Mexico. Image: Emilio Godoy / IPS

In the neighbouring municipality of Tahdziú (place of the zui bird, in Mayan), 65-year-old Maya farmer Leonardo Puc treasures his seeds as his most precious commodity.

Although there was enough rain this year after an intense drought in 2023, “we face many difficulties, a lot of budworm (which eats the maize plant). We need maize to feed ourselves, producing it is what we do. We can’t just sit back and do nothing,” the farmer told IPS.

“That’s why nature teaches us,” said the married father with six children and coordinator of the 28-member Flor de Tajonal group, named after an emblematic local flower.

There are five seed banks in the Tahdziú area. In a hut with a high roof of huano, a local palm tree, and walls of wooden beams, transparent plastic jars with white lids line a shelf. They hold a key part of peasant life: seeds of yellow and white maize, squash and black beans.

Tahdziú also lives amidst deprivation, as its 5,502 inhabitants are practically all poor, and half of them live in extreme poverty.

Flora Chan inspects a hen in the pen at her home in the municipality of Maní, in the southeastern Mexican state of Yucatán. Image: Emilio Godoy / IPS

Chickens that change lives

Flora Chan’s mother used to buy and raise chickens, so she was no stranger to the cage-free poultry egg farmer programme she joined in 2020 to improve her family’s economy.

“When we started, it was hard because people didn’t know about our eggs. Now they buy every day,” she told IPS in the courtyard of her home in the municipality of Maní (where it all happened, in Mayan), near Chacsinkin.

Chan, who is single and childless, has 39 hens and wants more. Every day she collects between 40 and 50 eggs. She cleans the henhouse early, checks the water and feed and rate of production. She also weaves textiles and oversees 100 hives of stingless melipona bees, a species endemic to the region and with highly prized honey.

A group of 217 women farmers, 19 in Maní, formed the Kikiba Collective (something very good, in Mayan) and whose seal, a hen, goes on each unit.

The breeders belong to the Mujeres Emprendedoras initiative, which began in 2020 in 93 communities from 30 municipalities in Campeche, Quintana Roo and Yucatán, with the help of the organisation Heifer.

A group of 19 women egg farmers make up the Colectivo Kikiba in the municipality of Maní, in the state of Yucatán, in southeastern Mexico. Image: Emilio Godoy / IPS

The programme aims to strengthen local livelihoods in order to alleviate hunger, poor nutrition due to lack of animal protein and low incomes due to lack of market access.

In Mani, three quarters of the 6,129 inhabitants suffer from poverty and one fifth from extreme poverty.

Each participant receives training in the installation of backyard chicken coops, animal care and business management. Each year they replace the batch of 50 birds they receive and pass theirs on to a new member, until the birds stop laying and the women then use them at home or sell them at local markets.

The programme has covered 796 women farmers, with the goal of reaching 1,000 by 2026. The Kikiba Collective delivers 4,300 free-range eggs each week to two restaurants of a well-known Mexican restaurant chain in Merida, the capital of Yucatan. In addition, it sells retail and allocates 30% for family consumption.

At first, Chan’s neighbour Nancy Interiano was not interested in the project, but her friend convinced her to check it out. Today, the 43-year-old businesswoman, who is married with three children, has 60 laying hens.

“Seeing the results, other women are interested in joining and those who are already involved want to increase their poultry houses. With our knowledge and experience, we advise the new ones,” she told IPS.

In Mexico, 14.7 million women live in rural areas, representing almost 23% of all women and 12% of Mexico’s total population.

Due to a lack of suppliers of laying hens, breeders are limited in their ability to meet growing demand.

While solving this is out of their hands, Chan and Interiano enjoy every day watching their hens scratching the ground, climbing on wooden beams or settling into nests to lay the eggs that have changed their lives.

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Will this free cesarean section policy truly deliver for them? Only time will tell, but much more needs to be done to make it work for all women in Nigeria. Credit: Shutterstock

By Ifeanyi Nsofor and Thelma C. Thomas-Abeku
WASHINGTON DC, Nov 25 2024 (IPS)

In Nigeria, over 80,000 women die each year from pregnancy and childbirth complications. Recently, Nigeria’s coordinating minister of health and social welfare, Muhammad Pate, announced the Maternal Mortality Reduction Initiative. It aims to provide free cesarean section (CS) and essential maternal care to poor women nationwide, ensuring safer childbirth and improved maternal health outcomes. Free CS is a life-saving solution. But while the idea is great, let’s take a closer look to unpack how it can really help Nigerian women.

To access the free CS, pregnant women must be enrolled in the country’s National Health Insurance Scheme, which covers pregnancy-related emergencies. Social welfare units in public hospitals will check if women qualify and can’t afford the procedure. But is this enough?

For a policy like this to work, it must be well-planned, involve many stakeholders, and take into account the rising cost of living, widespread poverty, and the large number of women in informal jobs who are not routinely covered by health insurance

The survival of women at childbirth hinges on availability of expertise to provide cesarean section when needed. A study found a national cesarean section prevalence of 17.6%, with a significantly higher prevalence in facilities in the south (25.5%) compared to the north (10.6%). The authors also identified higher prevalence of emergency cesarean section (75.9%) compared to elective CS (24.3%).

 

The Reality of Maternal Deaths in Nigeria

An unacceptable number of women in Nigeria die before, during, and after childbirth. Those 80,000 annual deaths are equivalent to 80% of the population of Seychelles.

This reaffirms Nigeria as a large country with an estimated population of more than 200 million; covering 36 states, the federal capital territory, and 774 local government areas.

For a policy like this to work, it must be well-planned, involve many stakeholders, and take into account the rising cost of living, widespread poverty, and the large number of women in informal jobs who are not routinely covered by health insurance.

Poverty is a big issue. Many women cannot afford hospital births and instead deliver in places like faith homes (run by churches) or with traditional birth attendants. If this policy is to work, women’s preference for health facility-based deliveries must improve significantly.

These are five ways to make the free CS policy truly equitable.

 

Does Nigeria Have Enough Obstetricians?

A CS is a life-saving surgery for high-risk pregnancies, like those with large babies, breech positions, or obstructed labor. But Nigeria faces a shortage of healthcare workers. Many doctors are leaving the country for better opportunities abroad.

As of 2021, Nigeria had only 84,277 doctors—about 3.95 per 10,000 people, far below the global recommendation. Who will perform these surgeries if our skilled workers are gone? The government needs to retain healthcare workers by offering better pay, housing, and improved working conditions. Training and career development programs are also crucial to ensure enough professionals are available for this initiative.

 

Bridging the Health Insurance Gap

Healthcare costs continue to hinder timely access to essential services, especially for marginalized and low-income populations, including women. To improve women’s health outcomes and realize the right to health, it’s imperative to address these inequities in healthcare delivery.

One effective strategy is to adopt the Health Equity Funds (HEF) model, a proven approach used in various countries. HEFs are third-party mechanisms that cover user fees at public health facilities for eligible low-income individuals.

By establishing and operationalizing a functional equity account, governments can facilitate the enrollment of more women from the informal sector into health insurance schemes, enhancing access and inclusivity.

 

Fighting Stigma and Myths About Cesarean Sections

Another challenge is the negative perception of CS. In some instances, women who undergo CS are stigmatized and labeled as ‘’weak’’. A study reveals that factors such as fear, lack of spousal consent, and poor education contribute to its underutilization.

Addressing these gaps requires intensified public education campaigns to inform women and dispel myths about CS, leveraging platforms like radio, TV, and social media to reach a wider audience. Additionally, integrating accurate information about CS as a normal and safe form of childbirth into school health education curricula is essential for long-term impact.

 

Federal, State, and Local Governments Cooperation

Healthcare in Nigeria is on the concurrent list, which means that federal, state and local councils have core responsibilities for healthcare delivery. How is this policy going to work within states and local government areas? Who is going to cover the costs for women in these sub-national areas?

For this policy to work, all three levels must collaborate. It is not enough for the federal government to announce the policy. State and local governments must also step up to implement it properly. The Federal Ministry of Health and Social Welfare through the National Health Insurance Scheme must collaborate with states through existing State Health insurance Schemes.

 

Will This Policy Truly Save Lives?

Women enrolled in the National Health Insurance Scheme might benefit immediately, but the majority—those poor, uninsured, and vulnerable—are left out. These are the women who need this policy the most. To deliver real change, the government must address these gaps.

 

Conclusion

In the end, every pregnant woman in Nigeria wants the same thing: to deliver safely and not die at childbirth. Will this free cesarean section policy truly deliver for them? Only time will tell, but much more needs to be done to make it work for all women in Nigeria.

 

About the Authors

Dr. Ifeanyi M. Nsofor, a public-health physician, global health equity advocate and behavioral-science researcher, serves on the Global Fellows Advisory Board at the Atlantic Institute, Oxford, United Kingdom. You can follow him @Ifeanyi Nsofor, MD on LinkedIn.

Thelma Chioma Thomas-Abeku is a seasoned communications specialist with a decade-long experience in public health advocacy and communications. She is a graduate of Liverpool John Moores University and University of Abuja. You can follow her @Thelma Thomas-Abeku on LinkedIn.

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