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

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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

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Zulum: Borno Will Deliver Tinubu, APC Candidates in 2027 Elections

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Zulum: Borno Will Deliver Tinubu, APC Candidates in 2027 Elections

By: Our Reporter

Borno State Governor, Professor Babagana Umara Zulum, has reaffirmed the commitment of the people of the state to support President Bola Ahmed Tinubu and all candidates of the All Progressives Congress (APC) in the forthcoming 2027 general elections.

Governor Zulum made the commitment on Monday during the All Progressives Congress, APC, Senatorial District Primary Election for Borno Central, in Maiduguri.

The governor also commended President Tinubu for choosing Senator Kashim Shettima as Vice President of the Federal Republic of Nigeria, describing the decision as a great honor to the people of the state.

“Let me begin by extending a profound appreciation to the President of the Federal Republic of Nigeria, President Bola Ahmed Tinubu, GCFR, for all the support that he has been rendering to our great party and indeed the government and people of the state and for him to choose one of our own, Senator Kashim Shettima, as the Vice President, we remain eternally grateful to him,” Zulum stated.

He assured the President of overwhelming support from Borno State ahead of the next presidential election.

“Insha Allah, the people of Borno State will vote for President Bola Ahmed Tinubu for a second term,” the governor declared.

Zulum also endorsed Senator Kaka Shehu Lawan for another term as Senator representing Borno Central Senatorial District in 2027.

“Today, it has been affirmed that Senator Kaka Shehu Lawan will return as Senator for Borno Central come 2027, Insha Allah,” he said.

The governor called on party supporters and the electorate to remain united and to support APC candidates at all levels.

Chairman of Borno State Senatorial District Primary Elections Committee, Jones Ode Erue, hailed the rancor-free process of all the primary elections conducted in the state.

He commended Governor Babagana Umara Zulum for providing a level playing field and ensuring the exercise was conducted smoothly.

According to him, since the candidate for Borno Central senatorial district, Senator Kaka Shehu Lawan, is unopposed, his candidacy was affirmed by voice vote.

“We have a single candidate, so what we will do is affirmation in compliance with the electoral Act and the APC Constitution,” Esue said.

“By the powers vested in me as Chairman of Borno State Senatorial District Primary Election Committee, I,
Prophet Jones Ode Erue, hereby declare, affirm, and present Senator Kaka Shehu Lawan, having satisfied the constitution of the APC, as the duly returned candidate for Borno Central District,” he declared.

Senator representing Borno Central and APC Senatorial candidate, Senator Kaka Shehu Lawan, SAN, accepted the party’s candidacy and promised his constituents that he would serve diligently.

He thanked Governor Babagana Umara Zulum for the tremendous support and for allowing him to be the party’s sole candidate.

“I hereby accept the candidacy bestowed on me by the party and promised to serve my constituents without affection or ill will,” Kaka Shehu stated.

Officials from INEC and the Security Agencies monitored the exercise.

The event was attended by the APC Deputy National Chairman North, Hon. Ali Bukar Dalori; serving and newly elected candidates for the House of Representatives; the APC state chairman; APC National and State officials; the Secretary to the State Government; the Acting Chief of Staff; Commissioners; and other senior government officials.

Zulum: Borno Will Deliver Tinubu, APC Candidates in 2027 Elections

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Cuba Accuses US of Building ‘False Case’ for Possible Invasion Amid Rising Tensions

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Cuba Accuses US of Building ‘False Case’ for Possible Invasion Amid Rising Tensions

By: Michael Mike

The Cuban government has accused the United States of fabricating allegations against Havana as a pretext for possible military aggression, following reports that Washington is increasingly concerned about Cuba’s alleged drone capabilities and growing ties with Russia and Iran.

Cuban Foreign Minister, Bruno Rodríguez Parrilla, alleged that the United States was “manufacturing a fraudulent case” against Cuba in an attempt to justify tougher sanctions and heightened pressure on the Caribbean nation.

The accusation followed recent reports in American media suggesting that U.S. intelligence agencies were assessing what they described as an emerging security threat linked to Cuba’s acquisition of military drones.

According to reports, U.S. officials fear that Havana may be strengthening military cooperation with countries considered strategic rivals of Washington, including Russia and Iran.

Cuba, however, dismissed the allegations as politically motivated and part of a long-standing campaign aimed at isolating the communist-led island nation.

The development marks a fresh escalation in already strained relations between United States and Cuba, amid worsening economic hardship in Cuba and renewed geopolitical rivalry involving major global powers.

Analysts say tensions between both countries have intensified in recent months following stricter U.S. sanctions, worsening fuel shortages in Cuba and increased diplomatic hostilities.

The Cuban government has repeatedly accused Washington of fueling economic suffering on the island through decades-old embargoes and restrictive measures, while the U.S. maintains that its policies are targeted at promoting democracy and human rights.

The latest dispute emerged after reports claimed that Cuba may have expanded its drone programme with external support, raising security concerns in Washington over possible threats near strategic U.S. facilities, including the Guantanamo Bay naval base.

Havana strongly denied any hostile intentions, insisting that the allegations were exaggerated to create fear and justify additional punitive actions against the country.

Observers note that the war of words comes at a delicate moment in international relations, with growing global polarization between Western powers and countries aligned with Russia and China.

Cuba Accuses US of Building ‘False Case’ for Possible Invasion Amid Rising Tensions

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EU, UNODC, ECOWAS Back Nigeria’s New Drug Control Plan, Warn of Rising Threats

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EU, UNODC, ECOWAS Back Nigeria’s New Drug Control Plan, Warn of Rising Threats

By: Michael Mike

International partners including the European Union (EU), the United Nations Office on Drugs and Crime (UNODC), and the Economic Community of West African States (ECOWAS) have pledged continued support for Nigeria’s efforts to combat substance abuse and illicit drug trafficking under the proposed 2026–2030 National Drug Control Master Plan (NDCMP).

The commitment was made on Monday during the opening of a two-day NDCMP Consultative Forum organised by the National Drug Law Enforcement Agency in Abuja, where stakeholders commended the agency’s achievements while warning against complacency amid evolving drug threats across Africa.

Speaking at the forum, Deputy Head of the EU Delegation to Nigeria and ECOWAS, Mr. Zissimos Vergos, said the European Union remained committed to strengthening collaboration with Nigeria in addressing the transnational nature of drug trafficking and substance abuse.

According to him, Nigeria’s stability and Europe’s security are interconnected, stressing that the impact of drug abuse and trafficking extends beyond national borders.

“Our presence here today is that of partners who have walked this uphill and rough road ourselves, and we continue doing that,” he said.

“What affects the youth of Maiduguri or the streets of Ibadan does not stay within Nigerian borders. Drug trafficking is a transnational challenge, and the master plan laid before this forum is Nigeria’s contribution to a transnational response.”

Vergos noted that the EU had also updated its own drug strategy and action plan with stronger emphasis on international cooperation, adding that the bloc was ready to work with Nigeria in translating the new master plan into practical outcomes.

He also praised the leadership and personnel of the NDLEA for their dedication and commitment to drug control efforts.

Also addressing participants, UNODC Country Representative, Mr. Cheikh Ousmane Touré, warned that the global drug landscape was rapidly changing, driven by the rise of synthetic drugs, increasingly sophisticated trafficking networks, and the growing use of technology to facilitate illicit markets.

He said Nigeria was at the centre of these emerging threats, making it imperative for the country to adopt a comprehensive, data-driven, and forward-looking strategy.

Touré reaffirmed UNODC’s commitment to supporting Nigeria through technical assistance, institutional strengthening, evidence-based prevention and treatment programmes, and enhanced international cooperation.

“As we look ahead, we see this master plan as an opportunity to deepen impact, strengthen data systems, reinforce institutions across all levels of governance, and ensure that the response is people-centred, inclusive, and sustainable,” he said.

Chairman/Chief Executive Officer of the NDLEA, Mohamed Buba Marwa, said although Nigeria had recorded significant progress over the past five years, the country must confront a more complex and evolving drug threat.

Citing projections by the UNODC, Marwa said drug use in Africa could rise by 40 per cent by 2030, while West Africa continued to serve as a major corridor for cocaine trafficking between Latin America and Europe.

He further identified the growing abuse of synthetic substances, prescription drugs, new psychoactive substances, and the increasing digitalisation of the illicit drug trade through encrypted platforms and dark web operations as major concerns.

“As Africa’s most populous nation and largest economy, Nigeria cannot afford to be a passive observer. The risks to our youth, our workforce, and our national security are too high,” Marwa stated.

He explained that the proposed 2026–2030 master plan would introduce new strategic pillars, including alternative development and sustainable livelihoods to address the socio-economic drivers of the drug trade, as well as the disruption of illicit drug economies through financial intelligence.

Marwa urged stakeholders at the forum to think boldly and propose innovative solutions that would shape Nigeria’s drug control strategy over the next five years.

Also speaking, ECOWAS Commissioner for Human Development and Social Affairs, Dr. Daniel Amankwaah, described Nigeria’s master plan as critical to the regional bloc, noting that several ECOWAS member states often draw policy direction from Nigeria’s framework.

He assured the NDLEA of ECOWAS support, not only in finalising the plan but also during implementation.

Minister of State for Education, Suwaiba Said Ahmad, commended the NDLEA for its sustained advocacy, enforcement, rehabilitation, and stakeholder engagement efforts.

She stressed the need for a holistic and multi-sectoral response involving education, healthcare, law enforcement, community participation, and social support systems to effectively address the root causes and consequences of drug abuse.

Other dignitaries at the event included representatives of the Senate Committee on Drugs and Narcotics and the National Orientation Agency.

EU, UNODC, ECOWAS Back Nigeria’s New Drug Control Plan, Warn of Rising Threats

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