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

Nigeria-China Relations at 55: Dialogue Highlights Achievements, Strategic Opportunities, and Shared Future

Published

on

Nigeria-China Relations at 55: Dialogue Highlights Achievements, Strategic Opportunities, and Shared Future

By: Michael Mike

Nigeria and China marked 55 years of diplomatic relations on Wednesday, February 11, 2026, with a high-level dialogue at the Institute for Peace and Conflict Resolution (IPCR), reflecting on past achievements and exploring opportunities for deeper cooperation across economic, cultural, and strategic sectors.

The event, themed “Nigeria-China at 55 and Beyond”, brought together senior government officials, diplomats, scholars, and private sector leaders. It featured remarks from the Emir of Kano, Mohammed Sanusi II, IPCR Director-General Dr. Joseph Ochogwu, representatives from the Chinese Embassy, and the Centre for China Studies (CCS), highlighting the significance of the long-standing partnership.

In his welcome address, Dr. Ochogwu described the dialogue as a timely platform to assess the evolution of Nigeria-China relations, which have grown from diplomatic ties to a comprehensive partnership spanning infrastructure, trade, technology, education, and people-to-people exchanges.

“Partnerships such as Nigeria-China relations must be continually examined through the lens of peace, stability, and sustainable development,” Dr. Ochogwu said. He emphasized that sustainable development and durable peace are inseparable, noting that economic cooperation must be people-centered, conflict-sensitive, and aligned with national and regional stability goals.

Emir Sanusi II reflected on his personal connection to Nigeria-China relations, recalling that his father, Ambassador Aminu Sanusi, served as Nigeria’s first ambassador to China in 1971. He highlighted the strategic importance of deploying experienced diplomats to critical posts, urging policymakers to prioritize long-term national interests over prestige when determining postings.

“Diplomatic deployments must align with national interests, particularly in emerging geopolitical realities,” he said. Sanusi also stressed that while Chinese infrastructure projects are welcome, Nigeria must focus on domestic production and industrialization to fully leverage bilateral cooperation under frameworks such as the African Continental Free Trade Agreement (AfCFTA).

Representatives of the Chinese Embassy reaffirmed China’s commitment to deepening strategic trust, advancing shared development, strengthening multilateral engagement, and promoting mutual learning among civilizations. They cited landmark achievements, including the Lekki Deep Sea Port, Zungeru Hydropower Station, the Ajaokuta–Kaduna–Kano (AKK) Natural Gas Pipeline, and railway modernization projects.

“Over 55 years, China and Nigeria have been trusted friends, supporting each other in national development and regional peace,” the Chinese delegation said. Bilateral trade surpassed USD 28 billion in 2025, a year-on-year increase of over 28 percent, while Chinese direct investment reached USD 690 million, up 103 percent from 2024. People-to-people ties, including educational exchanges, Confucius Institutes, and cultural festivals, were also highlighted as key pillars of the relationship.

The Centre for China Studies (CCS) underscored the historical context of the relationship, noting Nigeria’s early support for China’s seat at the United Nations in 1971 and the continued adherence to the One China Policy. CCS Director Charles Onunaiju emphasized that Nigeria is strategically positioned to benefit from China’s 15th Five-Year Plan and called for closer study of China’s governance and economic policies to inform national development strategies.

“Even though Nigeria and China have achieved much over the past 55 years, what lies ahead is even greater,” Onunaiju said, urging policymakers and scholars to focus on structural transformation, industrialization, and mutually beneficial cooperation.

The dialogue concluded with calls for strengthened strategic engagement, alignment of development priorities, and enhanced people-to-people exchanges, reflecting a shared commitment to sustainable development, regional stability, and a long-term partnership between the two nations.

Nigeria-China Relations at 55: Dialogue Highlights Achievements, Strategic Opportunities, and Shared Future

Continue Reading

News

Owo Church Attack: 8th DSS Witness Corroborates 7th’s Testimony Identifying 2nd Defendant Al Quasim As Part of Bloodbath

Published

on

Owo Church Attack: 8th DSS Witness Corroborates 7th’s Testimony Identifying 2nd Defendant Al Quasim As Part of Bloodbath

By: Our Reporter

An eight witness of the Department of State Services (DSS) in the ongoing trial of suspected attackers of the St. Francis Catholic Church in Owo, Ondo State, in 2022, on Wednesday corroborated the Tuesday testimony of a 7th witness who identified one of the suspects as being part of those who carried out the attack.

Like the 7th DSS witness did on Tuesday, the 8th also identified the 2nd defendant, Al Quasim Idris, as being part of those who allegedly killed the worshippers.

The witness, an Amotekun operative, told a Federal High Court in Abuja that he was one of the officers who arrived in the church premises shortly after the attack. He identified Al Quasim Idris as one of those who, shortly after the attack, exchanged gunfire at close range with him in a nearby bush.

The DSS is prosecuting Idris Abdulmalik Omeiza (25 years), Al Qasim Idris (20 years), Jamiu Abdulmalik (26 years), Abdulhaleem Idris (25 years) and Momoh Otuho Abubakar (47 years) over the June 5, 2022 attack on the church.

Earlier on Tuesday, another Amotekun officer, who is listed as the seventh witness of the DSS, in open court, identified Al Quasim Idris as one of those with whom he came face-to-face during a gunfight that ensued.

Led in evidence by the prosecuting lawyer, Ayodeji Adedipe (SAN), SSH, who is the eight prosecution witness (PW8), on Wednesday, gave details of how they trailed and tried to apprehend the attackers, resulting in the exchange of gunfire with Al Quasim Idris.

SSH said: “On June 5, 2022 as an operative of Amotekun, we received a distress call from the anti-kidnapping squad. We were on an anti-kidnapping mission when we received another call that there was an attack at the St. Francis Church, Owo.

“So, we were asked to withdraw and head to St Francis Church. On getting to the church, we met a crowd and managed to enter the premises.

“When we entered the church premises, we saw several dead bodies on the floor, both inside and around the church, including some injured people, including women and children,” he said.

The witness added: “We later came outside the church and learnt that the attackers were four in number and that they were the ones who zoomed off in a blue Nissan car as we were arriving.

“We got into our vehicle and started to trail them towards Ute Road, because that was the information we got. We were able to get close to them because our vehicle was better than the one they were in.”

SSH said at a point, “the attackers abruptly parked their car and ran into the bush. One of our men and a volunteer hunter went after them while the rest of us waited strategically.”

The witness said that it was during an intense gun battle with the attackers in the bush that he sighted Al Quasim Idris. He, however, added that the assailants succeeded in killing the volunteer hunter.

“We were able to get back to the bush to retrieve the body of the hunter,” the witness stated.

The Amotekun officer stated that they later took the Nissan car to their office before it was later moved to their state headquarters.

Under cross-examination by defence lawyer, Abdullahi Mohammad, the witness said he could not remember how many of them brought out the hunter’s corpse from the bush.

On whether they made efforts to identify the actual owner of the Nissan car, the witness said: “Before we moved the vehicle to the state headquarters at Akure, the owner came to our office to identify himself as the owner of the vehicle.”

When asked if they interviewed the owner of the vehicle, the witness said that was done in their office, but that he was not part of those who interviewed the owner of the car..

At the conclusion of the cross-examination, Adedipe prayed the court to grant a three consecutive day adjournment to enable the prosecution call its last set of witnesses and close its case.

The defence lawyer did not oppose, following which Justice Emeka Nwite adjourned till March 24, 25 and 26 for continuation of trial.

Owo Church Attack: 8th DSS Witness Corroborates 7th’s Testimony Identifying 2nd Defendant Al Quasim As Part of Bloodbath

Continue Reading

News

Bayelsa Deepens Angola Partnership, Moves to Activate MoU with Namibe Province

Published

on

Bayelsa Deepens Angola Partnership, Moves to Activate MoU with Namibe Province

By: Michael Mike

Bayelsa State has stepped up efforts to strengthen economic and diplomatic ties with Angola, as it moves to implement a Memorandum of Understanding (MoU) signed with Namibe Province during the renewed Nigeria–Angola Bilateral Commission.

The partnership, which began with an exploratory visit to the Angolan coastal province of Namibe, has now entered an implementation phase, with both sides expressing commitment to translating agreements into tangible economic outcomes.

Governor of Bayelsa State, Senator Duoye Diri, while receiving a delegation from Angolan President João Manuel Gonçalves Lourenço led by the Minister of State and Chief of the Civil House of the President of the Republic of Angola, Dionísio Manuel da Fonseca at Bayelsa House in Abuja on Wednesday, said the relationship between Bayelsa and Namibe was built on shared economic characteristics and strategic interests. The delegation included senior Angolan government officials and investment representatives.

He explained that the first visit to Namibe was exploratory, aimed at identifying areas of mutual interest. Namibe, like Bayelsa, is a coastal region with strong potential in aquaculture, fisheries, marine services and other blue economy sectors.

“Namibe is a coastal province like Bayelsa. We have a lot in common in terms of marine resources, fisheries and natural endowments. That informed our decision to foster closer cooperation,” the governor said.

The second engagement coincided with the Nigeria–Angola Bilateral Commission meeting — the first in over two decades, the last having been held in 2005. The high-level meeting was attended by Nigeria’s Minister of State for Foreign Affairs, federal government officials and representatives of subnational governments, including Nasarawa State.

It was during that session that Bayelsa State formally signed an MoU with Namibe Province, focusing broadly on economic development in sectors where both sides have comparative advantages. Nasarawa State also signed a separate agreement with another Angolan province.

The governor noted that although Nigeria and Angola have signed nearly 30 agreements over the years, many were not fully implemented. He described the renewed bilateral engagement as a deliberate effort to reverse that trend.

“What makes this engagement different is the emphasis on implementation. Many agreements were signed in the past but were not executed. This visit is a continuation of that renewed commitment to ensure that what we have signed does not remain on paper,” he stated.

Diri, while commending the Angolan Ambassador to Nigeria, Jose Bamoquina Zau, who was part of the visiting team for working diligently to sustain relations between both countries, acknowledged the role of Nigeria’s leadership in facilitating the revival of the bilateral commission.

The governor also disclosed that a planned reciprocal visit by the Governor of Namibe Province had been postponed due to unforeseen circumstances, including the sudden loss of his deputy governor last year. He, however, expressed optimism that the visit would take place soon.

“We look forward to hosting the Namibe governor in Bayelsa so that we can further consolidate this partnership. Stronger ties between our states and provinces will ultimately strengthen relations between Nigeria and Angola,” he said.

Observers say the Bayelsa–Namibe cooperation reflects a growing trend of subnational diplomacy aimed at boosting intra-African trade, attracting investment and unlocking the economic potential of the continent’s coastal and resource-rich regions.

With both sides signaling readiness to move beyond ceremonial agreements, the partnership is expected to focus on practical collaboration in fisheries development, aquaculture expansion, marine infrastructure and broader economic exchange — positioning Bayelsa and Namibe as strategic gateways for enhanced South–South cooperation.

Bayelsa Deepens Angola Partnership, Moves to Activate MoU with Namibe Province

Continue Reading

Trending

Verified by MonsterInsights