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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
How DSS, ONSA, Army rescue remaining Kurmin Wali abducted worshippers in Kaduna
How DSS, ONSA, Army rescue remaining Kurmin Wali abducted worshippers in Kaduna
By: Zagazola Makama
In the early hours of Thursday, operatives of the Department of State Services (DSS), working closely with the Office of the National Security Adviser (ONSA) and backed by the Nigerian Army, recovered 88 captives from bandits’ hideouts in the Kajuru–Kachia axis. The victims included men, women and two toddlers.
It would be recalled that gunmen attacked three churches in Kurmin Wali on Jan. 18 and abducted about 167 worshippers. While 80 were released on Feb. 1, others remained in captivity until the latest rescue.
One member of the rescue team, who spoke with security analyst Zagazola after the mission, described the operation as “purely intelligence-led.
“There was no shooting, no drama. Everything depended on timing, trust, and pressure. We had to move quietly through insecure villages, meet the handlers, and wait in the bush until they produced the victims,” the operative said.

According to him, the convoy left Kaduna city at about 8 p.m. on Wednesday under DSS escort and proceeded through Kachia to Kajuru LGA, navigating narrow and insecure routes to reach Maro and Cibiya villages.
At 11:00 p.m., the team made contact with local intermediaries the kachallas men who sit between communities and criminal groups. Thirty minutes later, they were led to Cibiya village. There was no time for pleasantries. We told them straight: we are here for the victims,” the operative said. “Nothing else.” he said.
For reasons known only to the abductors, the captives were not brought to the meeting point. Instead, the rescue team was asked to wait. In the bush. For an hour and a half.
“Those 90 minutes felt like a lifetime,” the operative recalled. “You are in hostile terrain, with no guarantee of what comes next.”he said.
“At exactly 12:45 a.m., in a dark thicket outside Cibiya village, the waiting ended. From different corners of the bush, shadows began to move first a woman clutching a child, then a man limping, then another, and another. In silence, 88 kidnapped worshippers emerged from captivity. There were no sirens. No gunfire. No cheering. Just relief.
He added that one of the vehicles developed a flat tyre at Maro village, but the passengers were quickly redistributed among other vehicles, allowing the convoy to continue to Kaduna.
“We arrived safely and handed over the 88 rescued persons to the DSS headquarters at about 3:30 a.m. for documentation and profiling,” he said.
The source commended the support of the Army and Navy personnel from the Nigerian Army School of Artillery (NASA), Kachia, as well as the Garrison Commander, for providing escort and coordination during the operation.
Zagazola report that the Kajuru LGA has, for years, been a pressure point in Kaduna’s security map. Its forested terrain, poor road access and proximity to Kachia and parts of Niger State make it ideal for bandit transit and hostage warehousing.
The rescue marks more than just the end of a traumatic episode for dozens of families. It also offers a revealing window into Nigeria’s evolving counter-kidnapping architecture one increasingly driven by quiet inter-agency coordination rather than loud battlefield theatrics.
What stands out in the Kurmin Wali rescue is not just the outcome, but the method. Rather than a large-scale military assault, the operation relied on fusion intelligence, the blending of DSS human intelligence, ONSA strategic coordination, and Army/Navy tactical support from the Nigerian Army School of Artillery (NASA), Kachia.
This reflects a broader shift in Nigeria’s internal security playbook:DSS handles negotiations, penetration and tracking, ONSA provides strategic oversight and deconfliction, the military ensures area dominance and safe corridors.
Such layered coordination reduces the risk of civilian casualties and prevents kidnappers from scattering hostages during raids, a recurring problem in previous operations.
The initial police denial of the incident also exposed a familiar gap: the lag between ground reality and official acknowledgment, which often complicates response time and public trust.
The Kaduna State Government is yet to issue an official statement on the operation.
How DSS, ONSA, Army rescue remaining Kurmin Wali abducted worshippers in Kaduna
News
Marwa Charges Nigerian Youths on Skills Acquisition, Warns Against Drug Abuse
Marwa Charges Nigerian Youths on Skills Acquisition, Warns Against Drug Abuse
By: Michael Mike
The Chairman and Chief Executive Officer of the National Drug Law Enforcement Agency (NDLEA), Brig. Gen. Buba Marwa (retd) has urged Nigerian youths to prioritise skills acquisition and empowerment opportunities as a strategic defence against drug abuse, unemployment and other social vices threatening national stability.
Marwa gave the charge in Abuja on Thursday while speaking as Special Guest of Honour at the launch of a youth empowerment and skills acquisition programme organised by Grassroots Bridge Builders, a non-governmental organisation.
He described the initiative as a critical intervention that supports the Federal Government’s Renewed Hope Agenda, particularly its focus on youth empowerment, job creation, social inclusion and crime prevention. According to him, equipping young Nigerians with practical and employable skills is a sustainable approach to addressing poverty, drug dependency and insecurity.
The NDLEA boss commended Grassroots Bridge Builders for its plan to train and empower 10,000 youths, noting that such efforts go beyond charity to serve as long-term investments in national development. He stressed that empowering young people strengthens their resilience, builds character and reduces their vulnerability to drug abuse and criminal activities.
Marwa emphasised that the fight against drug abuse cannot be left to government alone, calling for stronger collaboration among non-governmental organisations, civil society groups, faith-based institutions, community leaders and the private sector. He encouraged stakeholders to partner with the NDLEA in developing community-driven programmes that provide young people with skills, dignity and a sense of purpose.
Addressing the beneficiaries, Marwa described Nigerian youths as a vital asset to the country’s future rather than a burden to be managed. He urged them to take advantage of empowerment initiatives, reject drug use and invest in their talents to contribute meaningfully to national growth.
He reaffirmed NDLEA’s commitment to supporting credible, non-partisan initiatives that promote youth development, skills acquisition and drug-free communities, describing youth empowerment as the most sustainable pathway to securing Nigeria’s future.
Marwa Charges Nigerian Youths on Skills Acquisition, Warns Against Drug Abuse
News
NSCDC Boss Charges Personnel on Professionalism, Integrityin VIP Protection
NSCDC Boss Charges Personnel on Professionalism, Integrityin VIP Protection
By: Michael Mike
The Commandant General (CG) of the Nigeria Security and Civil Defence Corps (NSCDC), Prof. Ahmed Audi has issued a stern mandate to officers to uphold the highest standards of professionalism, integrity, and commitment in the protection of Very Important Persons (VIPs).
The CG gave this charge during his keynote address at a three-day VIP leadership and management workshop held at the NSCDC National Headquarters in Abuja on Wednesday.
The intensive training brought together state commandants, VIP commanders, and armorers from across the country.
Audi emphasized that the mandate for VIP protection as conferred by President Bola Tinubu is a sacred trust that must not be compromised. He warned that his administration maintains a zero tolerance policy for any form of misconduct.

He said: “This administration will sanction any personnel found sabotaging the Corps’ efforts in implementing the VIP mandate,” adding that: “This responsibility must be carried out to the admiration of the government and Nigerians to justify the confidence reposed in us.”
The workshop, organized under the Directorate of Training and Manpower Development, serves as a strategic intervention to sharpen the tactical and administrative skills of the Corps’ leadership.
Acting Deputy Commandant General Muktar Lawal, explained that the curriculum focuses on: strengthening leadership capacity and management skills.
Improving interdepartmental coordination.
Reinforcing professionalism in armory management and decision-making.
The CG underscored the importance of excellence by commending the VIP National Commander, Deputy Commandant of Corps Anyor Donald, for his professionalism and loyalty, urging others to embrace similar qualities.
The event featured goodwill messages from the Corps’ top brass, including Deputy Commandants General Zakari Ibrahim Ningi, fdc; Nnamdi Nwinyi; Pedro Awili Ideba; and Professor Tyoor Frederick Terhemba, all echoing the need for heightened accountability in the field.
NSCDC Boss Charges Personnel on Professionalism, Integrityin VIP Protection
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