Connect with us

News

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

on

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

By: Michael Mike

In the bustling emergency ward of Jahun General Hospital’s maternity department, the rhythm of activity beats with urgency and determination, like a pulse in the air. In this hospital, Médecins Sans Frontières (MSF) collaborates with the Jigawa state Ministry of Health to provide comprehensive emergency obstetrics and newborn care and fistula care. Since commencing services in 2008, MSF teams have assisted 90,000 deliveries.
Nigeria is the third country in the world, after South Sudan and Chad, where a woman is most likely to die giving birth, according to the World Health Organisation. With an average of more than 1,000 maternal deaths per 100,000 live births each year, Nigeria is far from the global target for 2030 of less than 70 maternal deaths per 100,000 live births, as set under the UN Sustainable Development Goals.
Maternal mortality rates far exceed the country average in northern Nigeria, where more than half of the country’s estimated 200 million people live. In Jigawa state, the most significant factor is the limited access pregnant women have to antenatal care and delivery care for complications in childbirth, which frequently occur.
Unity Enuebuke, MSF Nursing Activity Manager, has been working in Jahun General Hospital for more than 10 years. “We see a lot of women with serious complications, with the most common ones being anaemia, haemorrhage and eclampsia,” she explains. The high number of patients means the maternity wards are often fully occupied, if not over capacity. Unity says, “We regularly have up to two women sharing a bed, and depending on the type of complications we see, things can escalate very quickly.”
Ramatu
Ramatu, a mother of two, suffered life-threatening eclampsia—seizures due to high blood pressure—when she delivered her first baby in Jahun hospital. This is her second time here, overcoming the considerable distance from home. “I live five hours away from Jahun General Hospital. There is no hospital where I live, and the closest one does not open at night,” she explains. In Jigawa state, many of the estimated 749 primary healthcare centres do not have the drugs, healthcare workers and medical equipment to serve the thousands of women of childbearing age, despite efforts from public health authorities, the current healthcare infrastructure does not come close to meeting the needs of the population.
This dire situation leaves pregnant women who want to attend a healthcare facility with limited choices such as giving birth at home, and if complications arise, embarking on a treacherous journey to try to reach one that is functioning.
It is also not enough that healthcare facilities are available, they must also be affordable. The economic reality in this region, worsened by soaring inflation rates, makes it difficult for people to afford hospital fees, drugs or even transportation to health facilities.
The result is that women become hesitant to go to the hospital, preferring to give birth at home with the help of more affordable traditional birth attendants, hence increasing the risk of experiencing complications.
Khadijah
Women have given birth at home for centuries, but mother’s and baby’s survival can hinge on preparing and planning for managing complications, which may also occur without warning. In Jigawa state, health professionals and facility-based delivery rates remain low with up to around 80% of deliveries occurring at home.
Nurse Unity says, “Most times, family members don’t bring the mother to the hospital until they see that the baby is not coming out and the mother herself is having seizures.”
Khadijah, a 58-year-old traditional birth attendant in Aujara community, Jigawa state, understands the value of hospital care if she can’t manage a complication, but has experienced women’s hesitation firsthand. “Some women take my advice when I say they should go to the hospital, while some refuse to go to the hospital because they say that they are used to giving birth at home.”
In many communities in Jigawa state, pregnant women often require permission from their husband or mothers-in-law to visit hospital. This practice is compounded by a trend of early marriage, at an age when women are not fully informed about pregnancy and are not physically ready to carry a child.
Khadijah explains that for some, “it is their husbands that prevent them from going to the hospital. Some men don’t see the relevance of antenatal care, while others don’t want another man to treat their wives.”
1.

What needs to be done?
To tackle maternal mortality, a multitude of factors must be addressed. State authorities and international organisations must scale up their activities and increase funding to healthcare in the region, ensuring that budget allocations for primary healthcare centres are properly utilised and thorough planning and strict implementation processes are in place. In 2023, MSF teams assisted 15,754 deliveries, performed 1,911 caesarean sections and completed 43,785 antenatal consultations. Yet, it is still a drop in the ocean when looking at the needs of women in Jigawa state.
Primary healthcare facilities, which are often the first point where pregnant women seek healthcare, need to be equipped with trained personnel, equipment and resources to manage childbirth-related complications. “Eighty two percent of the cases we receive at Jahun General Hospital are complicated cases that could have been prevented at the primary healthcare level.” says Abdulwahab Mohamed, MSF medical coordinator. “Women, especially those of childbearing age, also have to be informed about their health and wellbeing through health empowerment programmes led by state authorities or other health stakeholders”.
Pregnant women must be encouraged to go for antenatal care where they can be informed about their pregnancy journey and what to expect. Efforts must be made to mitigate cultural practices that hinder women from seeking care in medical facilities. Women should be allowed agency and given freedom to make decisions for their health.
MSF supports the Jigawa state Ministry of Health in providing comprehensive emergency obstetrics and newborn care. Our support started with vesicovaginal fistula repair in 2008, however, the project evolved into a 161-bed facility to care for pregnant women and newborns experiencing complications. MSF teams also provide maternal and neonatal healthcare in the states of Kano, Benue, Cross River, Zamfara and will open a large maternity hospital in Maiduguri in June 2024.

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

NiDCOM Repatriates 13 Nigerians Rescued from Traffickers in Ghana, Raises Alarm Over Irregular Migration

Published

on

NiDCOM Repatriates 13 Nigerians Rescued from Traffickers in Ghana, Raises Alarm Over Irregular Migration

By: Michael Mike

The Nigerians in Diaspora Commission (NiDCOM) has facilitated the return of 13 Nigerians rescued from a human trafficking syndicate in Ghana, in what officials describe as another stark reminder of the growing dangers facing citizens lured abroad with false promises.

Chairman/Chief Executive Officer of NiDCOM, Hon. Abike Dabiri-Erewa, praised the swift intervention of the Nigerian High Commission in Ghana for coordinating the rescue and repatriation of the victims. She said the successful operation underscores the Federal Government’s commitment to protecting Nigerians wherever they may be.

The returnees, comprising 11 adults and two infants aged just four weeks and 16 months, were received in Lagos by the Commission’s Head of Operations on behalf of the Chairman.

According to a statement by the spokesman of the Commission, AbdurRahman Balogun, the initial assessments revealed that some of the women and their children are battling serious health challenges and are currently undergoing medical treatment, alongside psychological support to address trauma experienced during their ordeal.

Dabiri-Erewa expressed appreciation to Nigeria’s First Lady, Oluremi Tinubu, for her consistent support in providing transportation and other critical logistics for rescue missions. She described such backing as vital in ensuring that vulnerable Nigerians are brought home safely and reintegrated with dignity.

As part of standard reintegration procedures, the National Agency for the Prohibition of Trafficking in Persons (NAPTIP) conducted profiling and documentation of the victims, while NiDCOM coordinated logistical arrangements to facilitate their onward movement to their respective states.

The repatriation exercise was led by the Acting Nigerian High Commissioner to Ghana, Ambassador Moses Adeoye, working closely with relevant stakeholders and partner agencies to dismantle the trafficking network involved.

While welcoming the victims home, Dabiri-Erewa warned young Nigerians against falling prey to dubious recruitment agents and unverified overseas job offers. She stressed that irregular migration continues to expose many to exploitation, abuse and life-threatening conditions.

She reaffirmed NiDCOM’s resolve to strengthen collaboration with diplomatic missions, security agencies and civil society partners to combat human trafficking and provide timely intervention for citizens in distress abroad.

NiDCOM Repatriates 13 Nigerians Rescued from Traffickers in Ghana, Raises Alarm Over Irregular Migration

Continue Reading

Crime

NDLEA Nabs China-Based Businessman, Two Angolans as 236 Cocaine Pellets Recovered at Abuja, Kano Airports

Published

on

NDLEA Nabs China-Based Businessman, Two Angolans as 236 Cocaine Pellets Recovered at Abuja, Kano Airports

By: Michael Mike

Operatives of the National Drug Law Enforcement Agency (NDLEA) have arrested a China-based Nigerian businessman and two Angolan nationals after they excreted a combined 236 wraps of cocaine at the Nnamdi Azikiwe and Mallam Aminu Kano international airports.

The suspects—identified as Ibeanu Vincent Chukwudulue, 34; Mbandu Martins Makiadi, 50; and Ngoma Wilson Fernando, 52—were apprehended in separate operations in Abuja and Kano following intelligence-led surveillance.

Ibeanu was intercepted on February 4 at the Nnamdi Azikiwe International Airport while boarding a Qatar Airways flight from Kano to China via Doha. A body scan confirmed he had ingested illicit drugs. Under observation, he excreted 52 pellets of cocaine weighing 735.95 grams. He told investigators he previously ran a business on Lagos Island before relocating to Guangzhou, China, in 2024.

On the same day, NDLEA officers at the Mallam Aminu Kano International Airport arrested Makiadi and Fernando at the departure hall during clearance for an Ethiopian Airlines flight to Istanbul via Addis Ababa. Body scans confirmed drug ingestion. Makiadi expelled 76 wraps weighing 920 grams in seven excretions, while Fernando passed 108 pellets weighing 1.33 kilograms in five excretions.

The Angolan suspects, both from Hoji Ya Henda in Luanda, claimed they were recruited by an automobile spare parts dealer who promised them $3,000 each upon successful delivery of the drugs in Turkey.

In a related development, NDLEA operatives at the export shed of the Murtala Muhammed International Airport thwarted an attempt to smuggle 1.10 kilograms of cocaine to London, concealed in processed cassava granules (garri).

Investigations revealed that the plot was orchestrated from prison by Olashupo Michael Oladimeji, a convicted drug trafficker currently serving a five-year sentence at the Ikoyi Correctional Centre. Oladimeji had earlier been convicted by a Federal High Court in Lagos in 2025 for conspiracy to export 17.90kg of cocaine.

The latest consignment, hidden in a sack of garri packed inside a carton, was presented for export by Adedeji Yusuf Gbolahan, a staff member of Dimeji Express Logistics. NDLEA investigations indicated that Oladimeji coordinated the operation from custody and directed Yusuf to collect the consignment in Oshodi before taking it to the airport.

In another case at the Lagos airport, a 44-year-old estate surveyor, Adelaja Taiwo Adetayo, was arrested for attempting to ship 1.70 kilograms of skunk concealed in five jerry cans to the United Kingdom. The cargo agent who processed the consignment was also arrested, leading to a follow-up operation that tracked down Adelaja in Lagos.

In Abuja, NDLEA operatives intercepted a waybill package from Enugu containing a children’s toy guitar used to conceal 59.2 grams of Canadian Loud, a potent cannabis strain. A follow-up operation led to the arrest of the consignee, Henry Onuma, in Life Camp.

Meanwhile, in Lagos, NDLEA officers raided a four-bedroom duplex in the Lekki area used as a production hub for Colorado, a synthetic cannabis variant known locally as “Colos.” The operation followed the seizure of 73 cartons of nitrous oxide at Ajah–Epe Expressway, suspected to be linked to the facility. Two suspects were arrested, and 13.2 kilograms of freshly produced synthetic cannabis were recovered alongside precursor chemicals.

In Ibadan, Oyo State, a 45-year-old suspected drug dealer, Oluwayemisi Bunmi, was arrested with 1.189kg of Colos and skunk, 320 grams of methamphetamine, nearly ₦3 million in cash, and two vehicles.

In Kwara State, NDLEA operatives intercepted a vehicle conveying 105,400 pills of tramadol along the Bode Saadu axis, leading to the arrest of 43-year-old Kamilu Abdullahi.

Similarly, in Edo State, five suspects were apprehended during a raid on a forest camp in Ovia North East Local Government Area, where 563.5 kilograms of skunk were recovered.

Chairman/Chief Executive Officer of NDLEA, Brig. Gen. Mohamed Buba Marwa (Rtd), commended officers across the MAKIA, MMIA, NAIA, Lagos, Edo, Kwara, FCT, and Oyo Commands for their professionalism and vigilance.

He urged continued commitment to the agency’s balanced strategy of drug supply reduction and drug demand reduction, even as NDLEA intensified its War Against Drug Abuse (WADA) sensitisation campaigns in schools and communities nationwide.

NDLEA Nabs China-Based Businessman, Two Angolans as 236 Cocaine Pellets Recovered at Abuja, Kano Airports

Continue Reading

News

Kwara Residents Call on the Federal Government to Rescue Residents Captured in Woro as a Video of Abductees Surfaces Online

Published

on

Kwara Residents Call on the Federal Government to Rescue Residents Captured in Woro as a Video of Abductees Surfaces Online

By:Bodunrin kayode

There has been urgent calls on the Federal, government with the military might to take swift action to rescue the 176 abducted residents of woro community back to safety away from captivity.

This came about after a disturbing video clip showing captured residents of the recent attack in Woro community, Kaiama council Area of Kwara State, surfaced online.

In the video, several women and young children, including infants, were paraded by the terrorists looking distressed and helpless.

A voice believed to be that of one of the attackers was heard behind the camera speaking in Hausa and questioning the victims about their numbers and were they were captured because they were quite a handful.

During the question and answer session the women and children responded that they were taken from Woro in Kaiama council so that their relations will know they are still alive.

“When asked how many they were, they answered that they were 176 in number. The same question was repeated to another woman in the video to confirm the figure.

” The person behind the camera also claimed that authorities had earlier announced a lower number of victims and said the video was proof of the actual figure.

“The victims were abducted after armed attackers invaded Woro community on February 3, 2025. During the attack, many lives were lost and homes were destroyed.

” The emergence of this video has increased fear and concern among residents and families of the victims.

“The people of the area continue to hope for the safe return of their loved ones and a lasting solution to the security challenges.” Said a source from the state.

Kwara Residents Call on the Federal Government to Rescue Residents Captured in Woro as a Video of Abductees Surfaces Online

Continue Reading

Trending

Verified by MonsterInsights