News
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
Zulum Greets Muslim Ummah on Eid-El-Fitr
Zulum Greets Muslim Ummah on Eid-El-Fitr
…Re-commits to ending insecurity
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has conveyed his heartfelt congratulations to the Muslim Ummah in the state on the occasion of Eid-El-Fitr marking the successful completion of the month-long Ramadan fast.
Ramadan offered the opportunity for the Muslim faithful to renew their faith, boost spiritual depth, charitable giving and other acts or worship.
In a statement by his spokesperson, Dauda Iliya, Governor Zulum urged the people of the state to imbibe and sustain the lessons learned during the period to recharge their spiritual beings towards rebuilding a secure, peaceful and prosperous Borno society.
He described this year’s Ramadan as unique, especially with unprecedented charity reach outs to the indigent population by his administration. He noted with deep satisfaction and total gratitude to Allah that his administration has reached over 300,000 vulnerable persons with food and other essential items across the 27 local government areas
Although the state has recorded series of attacks, which have claimed the lives of some military men and civilians, the Governor reiterated his resolve to tackling the security situation head-on.
He saluted the courage, resilience and commitment of the people to all initiatives aimed at deepening security and peace building among the various components of the society fragmented by the Boko Haram insurgency over the years.
Governor Zulum expressed profound grief over the resurgence of terror attacks across parts of the state, especially the triple suicide bombings of Monday, March 9, in Maiduguri, which claimed the lives of 28 persons and injured over 100 others.
He, consequently, expressed his heartfelt gratitude to President Bola Tinubu for sending the Vice President, Senator Kashim Shettima to condole with the people of Borno over the tragic incident and also deploying the Service Chiefs with a charge to review and deploy strategies towards ending the insurgency.
Zulum lauded the military for the ongoing offensive operations in the Sambisa Forest, stressing similar coordinated operations in Mandara mountain, Lake Chad area and other hideouts of the insurgents.
He expressed his unbreakable promise to double down in supporting the security agencies and volunteer forces in the prosecution of the counter insurgency and counter terrorism operations.
Governor Zulum recalled that the people of Borno have gone through harrowing situations over the last 15 years due to the Boko Haram insurgency. He, however, urged them to sustain the impressive resilience to the impacts of terror, which they have built over the years.
With the renewal of terror attacks, especially suicide bombings, Zulum strongly urged the people to uphold their decades-old personal and communal initiatives for their safety and protection in attack situations, as the security agencies deploy new and stronger strategies at plugging all loopholes the terrorists seize to carry out their cowardly attacks on communities.
The governor expressed optimism that the security agencies are, more than ever before, crafting and deploying the most-successful strategies at combating the terrorists towards ending the insurgency.
While strongly advising the public to heed the warnings by security agencies to steer clear of crowded locations unguarded by security agents, and be mindful of suspicious persons, Zulum assured the residents of the state that the Eid-El-Fitr praying grounds will be heavily secured for the Muslim faithful to observe their yearly sacred ritual without any fear of attack.
He wished the Muslim Ummah Happy Eid-El-Fitr celebration.
Zulum Greets Muslim Ummah on Eid-El-Fitr
News
NUJ FCT Chair Grace Ike Inducted into NIPR, Vows Ethical Leadership in Public Communication
NUJ FCT Chair Grace Ike Inducted into NIPR, Vows Ethical Leadership in Public Communication
By: Michael Mike
The Chairman of the Nigeria Union of Journalists (NUJ), Federal Capital Territory (FCT) Council, Grace Ike, has been formally inducted into the Nigerian Institute of Public Relations (NIPR), a development she described as a defining step in her professional journey bridging journalism and strategic communication.
Speaking shortly after the induction ceremony in Abuja, Ike said the recognition represents both a personal milestone and an opportunity to expand her commitment to responsible and impactful communication.
According to her, the new role creates a strong link between her longstanding career in journalism and the evolving field of public relations.
“This moment marks not just a personal milestone, but a bridge between my roots in journalism and my forward march into the dynamic world of public relations,” she said.
With more than two decades of experience in the media industry, Ike has remained a vocal advocate for press freedom and journalists’ welfare. As NUJ FCT Council chairman, she has led several initiatives aimed at strengthening ethical standards within the profession while promoting the rights and safety of media practitioners.
Reflecting on her career trajectory, she underscored the importance of communication in shaping societies and driving national development.
“These experiences have taught me that communication is the lifeblood of society, building trust, shaping narratives, and driving change,” she noted.
The NUJ leader said her induction into NIPR would further strengthen her dedication to ethical communication practices across both journalism and public relations, especially at a time when misinformation and the fast-changing digital media landscape continue to challenge the credibility of information.
“As I join the NIPR, I bring this journalistic rigour to public relations — a commitment to ethical storytelling, strategic engagement, and amplifying voices, especially those of women in leadership and media,” she added.
She emphasised that modern public relations goes beyond image management to include reputation building, perception shaping, crisis communication, and fostering meaningful relationships between institutions and the public.
“In an era of misinformation, PR professionals must lead with integrity, fostering dialogue that unites rather than divides,” Ike said.
She also pledged to uphold the professional standards and charter of the institute, while supporting mentorship and professional growth for emerging practitioners in the communication sector.
“Together, let us redefine public relations as a force for good — transparent, inclusive, and transformative,” she stated.
Ike further highlighted the responsibility of communication professionals in safeguarding the country’s global image.
“As custodians of national integrity, we must do all we can to protect and project the image of Nigeria positively,” she said.
Other notable inductees at the ceremony included former President of the Nigeria Association of Women Journalists, Evelyn Onyilo; the Chief Press Secretary to the Speaker of the House of Representatives, Leke Bayewu; and Ikenna Egwuatu, among others.
The event attracted communication professionals, media stakeholders, and industry leaders, underscoring the growing collaboration between journalism and public relations in promoting transparency, responsible communication, and national development.
NUJ FCT Chair Grace Ike Inducted into NIPR, Vows Ethical Leadership in Public Communication
News
Zulum Reassures Borno Residents as Insecurity Resurges, Vows Decisive Action Against Insurgents
Zulum Reassures Borno Residents as Insecurity Resurges, Vows Decisive Action Against Insurgents
By: Michael Mike
Governor of Borno State, Babagana Umara Zulum, has reassured residents that authorities remain firmly in control despite a recent resurgence of insecurity in parts of the state, pledging a robust response to defeat insurgent elements attempting to destabilize communities.
In a statewide broadcast on Thursday, the governor acknowledged growing concerns following renewed attacks in some areas but insisted that the security situation remains manageable.
Zulum said the recent spike in attacks was largely a result of intensified military offensives that have dislodged insurgents from their hideouts, forcing them to disperse and attempt infiltration into local communities.
According to him, security agencies are already implementing coordinated strategies to counter the renewed threats and ensure that the insurgents do not regain a foothold in the state.
“The overall security environment, while tested, remains under control, and we are doing everything possible to protect lives and property,” he said.
The governor noted that although significant progress had been made over the past seven years in restoring stability and rebuilding communities affected by the insurgency, authorities have always remained aware that the threat was not entirely over.
Zulum stressed that the fight against insurgency requires collective responsibility, urging residents to strengthen cooperation with security agencies by providing timely intelligence and reporting suspicious activities.
He warned individuals who aid insurgents through information sharing, shelter, or logistics that the government would no longer tolerate such actions.
“Those who collaborate with these criminals are enemies of the state and will face the full weight of the law,” he said.
The governor commended the Nigerian Armed Forces and other security agencies for their sacrifices and dedication in defending the state, while also paying tribute to soldiers and civilian volunteers who have lost their lives in the ongoing conflict.
He also expressed appreciation to President Bola Ahmed Tinubu for approving funding to support operations of the Multinational Joint Task Force and other military campaigns against insurgents across the country.
Zulum further thanked Vice President Kashim Shettima for representing the president during a sympathy visit to the state following recent security incidents.
The governor called on political actors in the state to avoid exploiting the security situation for political advantage, particularly as the political season approaches.
He urged aspirants and their supporters to prioritise peace and stability over personal ambitions, warning that political divisions could undermine the fragile gains made in restoring security.
“As we look to the future and choose a new leader for our state, let us pray for a worthy successor,” he said.
Zulum also appealed to residents to remain vigilant during the final days of Ramadan and the upcoming Eid celebrations, advising citizens to observe their prayers within their communities and promptly report suspicious movements to security authorities.
He reaffirmed his administration’s commitment to preventing insurgents from regaining control of the state.
“Borno shall not fall into the hands of insurgents,” he declared.
Zulum Reassures Borno Residents as Insecurity Resurges, Vows Decisive Action Against Insurgents
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