Fatima Sulaimon, 35, had her fifth child on a tiny fishing canoe. It happened in the dead of night, five years ago, in Agboyi, a riverine community under the Kosofe Local Government Area of Lagos State.

Agboyi comprises three main areas: Agboyi I, II, and III, all of which are surrounded by the Lagos Lagoon. The settlement suffers severe flooding not just during heavy rains but also when water levels rise or when excess water is released from the Oyan River Dam in Ogun State.

When these waters surge, the streets turn into a dark, impassable lagoon. The only way to reach the mainland is by canoe or boat. When PREMIUM TIMES visited the community on 11 October, this reporter had to navigate the flooded streets wearing high rubber boots, confirming the residents’ daily struggles.

This was the barrier Mrs Sulaimon faced that night.

A night on water

When her labour started around 11 p.m., she was already at the home of a local nurse who served as the community’s birth attendant, a necessity in Agboyi, where hospitals are miles away and primary health centres barely function.

β€œBut the labour became difficult,” she recalled. β€œThe nurse was scared and said she couldn’t handle it.”

Her family began searching desperately for a boat. β€œThey eventually got a fishing canoe to help at 1 a.m.,” she said softly.

As the small canoe rocked on the dark water, Mrs Suleimon struggled through her contractions and delivered the baby herself.

They turned back because the hospital was still far away, leaving the nurse to clean up and remove the placenta.

β€œIf not for the flooding in the streets, it would have been easier. Because everywhere was flooded, we couldn’t get anything,” Mrs Sulaimon said.

Minutes lost, lives lost

Accessing immediate specialised care is a challenge for pregnant women in an environment w

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