Though Babatunde Fashola, affectionately often called Baba, is 22 years previous, he’s lower than 70cm (2ft 4in) tall.
He has cerebral palsy and requires lifelong care. He can neither converse nor stroll and is fed through a tube hooked up 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 effectively,” the ability’s founder, Nonye Nweke, tells me once I go to.
Ms Nweke and her employees work across the clock to assist him and different kids residing with everlasting mind harm.
Though there’s a lack of official knowledge, cerebral palsy is believed to be one of the vital frequent neurological problems in Nigeria. In 2017, a medical professor from the College of Lagos mentioned 700,000 individuals 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 get better inside days. Extra extreme instances want additional medical intervention – and even then the situation is well treatable.
Kids are principally uncovered to ultra-violet gentle to dissolve the surplus bilirubin of their purple blood cells. The remedy lasts a couple of days relying on the severity.
Nevertheless, in Nigeria this remedy is commonly not instantly accessible, which is why the nation is among the many 5 with probably the most neurological problems attributable to untreated jaundice on this planet, in line with knowledge from the World Well being Group (WHO).
Any remedy for neonatal jaundice “should happen throughout 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 take care of 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 assist 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 kids. As a mum, I need to say it was fairly devastating,” Ms Nweke tells the BBC.
Zimuzo is now 17, and Ms Nweke’s Cerebral Palsy Centre gives full-time assist for others with comparable 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 kids, 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 hooked up to their stomachs.
Rigorously and slowly, the carers assist 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 stop 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 up extra kids would require further monetary assist. The price of caring for somebody on the centre is at the least $1,000 (£790) a month – an enormous quantity in a rustic the place the nationwide minimal wage is about $540 a 12 months.
“As a mum, I need to say it is fairly overwhelming. You might have moments of melancholy, it offers you heartaches and it’s fairly costly – in reality it is the costliest congenital dysfunction to handle,” Ms Nweke says.
“After which after all, it retains you away from individuals since you do not talk about the identical issues. They’re speaking of their infants, strolling, having fun with these child moments. You aren’t doing that. You might be unhappy,” she provides.
Ms Nweke explains that she adopted Zimuzo from an orphanage.
A couple of months after taking her new daughter house, Ms Nweke realised Zimuzo was not growing in the identical method as the kids round her have been. She was assessed at a hospital and recognized with cerebral palsy.
Ms Nweke was informed she may take Zimuzo, who was then simply a couple of months previous, again to the orphanage and undertake one other child as an alternative, however she refused.
“I made a decision to maintain her and I started researching what the dysfunction was about, the remedy and kind of care my little one would want – she’s my life.
“I used to be additionally informed by the medical doctors she will not reside past two years. Nicely right here we’re – 17 years later,” says a smiling Ms Nweke.
A ignorance and sufficient medical assist hinders the prognosis and remedy of neonatal jaundice in Nigeria.
Ms Nweke additionally says the frequent native perception that kids with congenital problems are spiritually broken or bewitched results in stigmatisation.
Some kids with neurological problems – principally in Nigeria’s rural areas – are labelled witches. In some instances, they’re deserted in prayer homes or forged out of their households.
Ms Nweke is just not alone in her mission to dispel myths and enhance care.
The Oscar Mission – a charity geared toward enhancing the prognosis and remedy of neonatal jaundice – just lately started working in Lagos.
The challenge is known as after Vietnamese-born British incapacity advocate, Oscar Anderson, whose untreated jaundice brought about his cerebral palsy.
“We’re equipping well being amenities on the major, secondary and tertiary ranges with the gear to deal with jaundice, primarily gentle packing containers, but additionally detection and screening gear,” Toyin Saraki, who oversaw the launch, tells the BBC.
Mission Oscar, backed by shopper well being agency Reckitt, is coaching 300 well being employees in Lagos. The hope over the primary 12 months is to achieve 10,000 moms, display 9,000 kids and introduce new protocols to try to stop infants with jaundice from growing cerebral palsy.
In a rustic the place the general public well being system is overstretched, the federal government has little to say in regards to the dysfunction, though it lauded the Oscar challenge’s objectives.
Remedy for neonatal jaundice is considerably cheaper than the price of lifelong care, medical doctors say.
First launched in Vietnam in 2019, Mission Oscar has helped about 150,000 kids within the Asian nation.
Mr Anderson, 22, says he needs to stop different kids experiencing what he has been by way of.
“Individuals 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 assist and braveness of mums, midwives and medical professionals, guarantee there’s higher understanding and faster remedy.
Nevertheless, attaining it is a massively bold aim in Africa’s most-populous nation, the place hundreds of infants are born every year with neonatal jaundice.
Regardless, Mr Anderson is set to defy the percentages.
“The work does not cease till each child is protected in opposition to neonatal jaundice,” he says.