Azuah was born in Ogwashi-Ukwu in
Delta State of
Nigeria to a
Tiv father from Ukan in Ushongo local government area of
Benue State and to an
Igbo mother from
Asaba in
Delta State. Being born during the
Nigerian Civil War to parents on both sides of the conflict, she was raised mostly as Igbo and was estranged from her paternal family because a Tiv Nigerian soldier was not supposed to cross the enemy line to get involved with a Biafran (Igbo) woman. She attended the
University of Nigeria, Nsukka where, as an undergraduate, she edited the English department literary journal called
The Muse and received the awards of the best Creative Writing student for two consecutive years: 1992 and 1993. She has a Bachelor of Art degree in English,
University of Nigeria, Nsukka (1994), a Master's in English from
Cleveland State University, Ohio (2001) and a Master's in Fine Art from
Virginia Commonwealth University, Richmond (2003). == Gay rights advocacy/activism ==