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Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria
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
News
Benin coup plotter Pascal Tigri traced to Niger, as accusing fingers pointed at President Tchiani
Benin coup plotter Pascal Tigri traced to Niger, as accusing fingers pointed at President Tchiani
By Hamza Suleiman
Pascal Tigri, the lieutenant-colonel at the center of the recent foiled coup in Benin, has reportedly been located in a ministerial residence in Niamey, Niger, in close proximity to the presidential palace and the Directorate-General of Documentation and External Security (DGDSE), multiple regional sources have confirmed.
Tigri is believed to have been in the villa since December 12, following a carefully orchestrated escape route that spanned several West African capitals.
Sources indicate that after the failed coup attempt in Cotonou on December 7, Tigri fled to Lomé, Togo, before boarding a private Beechcraft 100 D aircraft to Ouagadougou, Burkina Faso, on December 12. The aircraft, operated by Liza Transport International (LTI) Aviation, a subsidiary of the Burkinabè company Ebomaf owned by businessman Mahamadou Boukoungou, subsequently transferred Tigri to Niamey the same evening.
Regional intelligence suggests that Ouagadougou may have functioned as a “command and control hub” for the attempted coup, in alleged coordination with elements in Niger. Investigators in Benin have also raised concerns about the movements of other mutinous soldiers who reportedly fled Lomé on December 16 aboard the same LTI aircraft.
According to sources, the flight transponder was deactivated while crossing Bénin airspace, and verification with the National Civil Aviation Agency indicated the flight may have been cleared with a falsified authorization. These developments have intensified suspicion of external interference and potential complicity by regional actors.
Tensions between Bénin and Niger have escalated in recent weeks. President Abdourahamane Tiani of Niger has previously accused Bénin of harbouring groups engaged in terrorism, allegedly with external support. The failed coup, alongside unusual troop movements observed near the Bénin-Niger border on December 6, has further strained relations.
Notably, intelligence indicates that two units of the Nigerien Armed Forces were deployed to Gaya, Niger, two days before the coup, under orders from the Chief of Army Staff, General Mamane Sani Kiao. The units, dispatched from Maradi, were positioned near the Niger-Benin border, prompting questions about their intended mission, whether to escort sensitive convoys or monitor the activities of Tigri and his collaborators. After the coup’s failure, the Nigerien troops withdrew.
Sources close to the investigation reveal a pattern of discreet meetings, financial support, and communications linking Tigri and his affiliates with Nigerien intermediaries believed to be aligned with Nigerien authorities loyal to the transition government of General Abdourahamane Tiani. These contacts reportedly extended to operational planning and intelligence sharing, further complicating the regional security environment.
The presence of Tigri in Niamey, reportedly in a villa housing senior government officials including the Prime Minister and foreign advisors, mirrors the high-risk nature of his concealment. Reports indicate that Bala Arabé, head of Niger’s DGDSE, recently moved into a nearby city villa, further reinforcing suspicions of possible protection or surveillance by state actors.
In Bénin, authorities continue to pursue multiple leads, including tracing financial flows, and other classified intelligence. Video messages circulated by activist Kemi Seba in the immediate aftermath of the attempted coup suggest that some actors were forewarned, leading to an international warrant for Tigri and other suspected collaborators.
Nigeria, through intelligence sharing and diplomatic engagement, has played a stabilising role, working closely with Bénin authorities to monitor the crisis and prevent escalation. The swift and strategic deployment of Air and ground troops along the border played a pivotal role in limiting the potential fallout of the coup. Again, the deployment and surveillance along Gaya further prevented an escalation into a broader regional crisis. Nigeria’s proactive involvement exemplifies its commitment to safeguarding democratic governance and regional stability in West Africa.
The episode has drawn attention to vulnerabilities in border security, aviation oversight, and intelligence coordination in the sub-region. The intricate escape route, alleged cross-border support networks, and the covert operations surrounding Tigri signals the continuing challenges in preventing the spread of political instability as well as insecurity.
The presence of Tigri in Niamey, coupled with previous intelligence intercepts, continues to fuel speculation regarding Niger’s role, direct or indirect. The incident also exposed vulnerabilities in private aviation oversight and cross-border security, which called for the need for tighter controls to prevent the movement of rogue actors.
Meanwhile, sources confirmed that Bénin continues to pursue investigations into the escape of Tigri and other mutineers, with international warrants reportedly issued against key figures implicated in the attempted coup. For now, Tigri’s presence in Niamey continues to be a focal point of diplomatic and intelligence scrutiny in West Africa.
Nigerien authorities have not issued official statements regarding the presence of Tigri on their territory.
Benin coup plotter Pascal Tigri traced to Niger, as accusing fingers pointed at President Tchiani
News
13 Nigerien security forces killed by terrorists in Goubey attack, several injured
13 Nigerien security forces killed by terrorists in Goubey attack, several injured
By: Zagazola Makama
At least 13 members of the Nigerien security forces were killed in an attack by suspected armed militants on 17 December 2025 in Goubey, located about ten kilometres from Dioundiou in the Dosso region, sources confirmed.
Zagazola learnt that the victims include three police officers, one National Guard attached to the joint departmental and border patrol of Dioundiou, and nine members of the Nigerien Armed Forces (FAN) from the Karakara-based Damissa operation.
One officer from Damissa sustained serious injuries.
In addition, two vehicles were destroyed in the attack, including one belonging to the departmental patrol and another from the Damissa unit.
Security forces have reportedly launched follow-up operations to track the assailants and secure the area.
No group has claimed responsibility for the attack.
13 Nigerien security forces killed by terrorists in Goubey attack, several injured
News
Woman found dead in Maitama residence, FCT
Woman found dead in Maitama residence, FCT
By Zagazola Makama
A woman has been found dead in her residence at Federal Housing Authority (FHA) Maitama, Abuja
Sources said that Hajiya Fanna Mohd Abare, who had been unresponsive for about two days, was discovered in a decomposed state by her sister, Hajiya Aisha Mongo, on December 17 at about 1700 hours.
The door to the room had been locked, and it was forced open before the body was found.
Police detectives were dispatched to the scene. Due to the advanced state of decomposition and to prevent potential public health hazards, the Abuja Environmental Health Department was contacted, and the body was subsequently evacuated for burial at Gudu Cemetery.
Police sources said “No foul play is suspected in the incident”.
The sources said that investigations are ongoing to officially determine the cause of death.
Woman found dead in Maitama residence, FCT
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