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
NIMC Intensifies Ward-Level NIN Enrolment, Urges Nigerians to Register
NIMC Intensifies Ward-Level NIN Enrolment, Urges Nigerians to Register
By: Michael Mike
The National Identity Management Commission (NIMC) has reaffirmed its commitment to expanding Nigeria’s digital identity database as its nationwide ward-level enrolment drive for the National Identification Number (NIN) gains momentum across the federation.
The exercise, which began on February 16, 2026, is designed to bring registration services closer to the grassroots by decentralising enrolment to ward levels in all states and the Federal Capital Territory. According to the Commission, the initiative is already recording steady progress, with officials deployed to designated centres to capture new registrants.
In a statement issued on Tuesday by the spokesman of the Commission, Dr. Kayode Adegoke, NIMC underscored the critical role of the NIN in accessing essential government and financial services, describing it as the backbone of Nigeria’s identity management system. The Commission stressed that possession of the NIN remains mandatory for participation in a growing number of public and private sector services.
“The ward-level enrolment is part of our strategy to ensure inclusive identity coverage and to eliminate barriers that may prevent citizens and legal residents from registering,” the Commission said.
NIMC called on Nigerians who are yet to enrol to seize the opportunity presented by the decentralised exercise by visiting designated centres within their wards. The agency advised prospective registrants to verify the nearest enrolment locations through its official website, cooperate with enrolment officers, and provide accurate and verifiable information during the process.
To curb misinformation, the Commission urged the public to rely strictly on its verified communication channels, including its website (www.nimc.gov.ng) and official social media platforms on X (@nimc_ng), Instagram (@nimc_ng), Facebook (National Identity Management Commission – NIMC), and LinkedIn.
The agency also highlighted additional digital services available to the public. Applicants can initiate pre-enrolment through the online portal at penrol.nimc.gov.ng, while individuals seeking data corrections or updates can use the self-service modification platform at selfservicemodification.nimc.gov.ng. For secure digital verification, Nigerians were encouraged to download the NIN Authentication (NINAuth) App from the iOS App Store or Google Play Store.
NIMC further provided its customer care helpline, 0800-061-6462, for inquiries and assistance.
Reaffirming its mandate, the Commission stated that it remains focused on delivering “assured identity” to all Nigerians and legal residents, noting that a comprehensive and reliable identity database is essential for national planning, security coordination, and efficient service delivery.
NIMC Intensifies Ward-Level NIN Enrolment, Urges Nigerians to Register
News
Nigeria–China Partnership Strengthens as Officials Champion Culture, Women’s Empowerment and Economic Cooperation
Nigeria–China Partnership Strengthens as Officials Champion Culture, Women’s Empowerment and Economic Cooperation
By: Michael Mike
Nigeria and China have reaffirmed their strategic diplomatic and cultural partnership, with top government officials, diplomats and international development partners using the 2026 Chinese New Year and Lantern Festival celebration in Abuja to call for deeper collaboration in culture, education, tourism and women’s economic empowerment.
The event, held at the China Cultural Centre brought together high-level delegates from the Federal Government of Nigeria, the diplomatic corps and cultural stakeholders from China. The celebration also marked the 55th anniversary of diplomatic relations between both countries, as well as global efforts to promote people-to-people diplomacy under cultural exchange platforms.
Speaking at the event, the Ambassador of China to Nigeria, Yu Dunhai, described the Lantern Festival as a global symbol of unity, hope and renewal. He said the festival’s growing international recognition following its inscription on the UNESCO Intangible Cultural Heritage list reflects the global relevance of Chinese culture.
The ambassador, who was represented by the Cultural Counselor of Chinese Embassy and Director, Chinese Cultural Centre in Nigeria, Yang Jianxing, emphasized that cultural diplomacy remains a strong pillar of China–Nigeria relations, noting that over five decades, both nations have deepened cooperation in trade, infrastructure development, education and technology transfer.
He stressed that cultural exchange promotes mutual understanding beyond formal diplomacy. “Civilizations are enriched by exchange and mutual learning,” he said, highlighting shared cultural values such as respect for family, community cohesion and social harmony.
On his part, the Nigeria’s Permanent Secretary, Federal Ministry of Art, Culture, Tourism and Creative Economy, Dr. Mukhtar Muhammad, described the celebration as a symbolic fusion of two great civilizations and a platform for advancing gender-inclusive development.
Muhammad emphasized that combining the Women’s Carnival with the Lantern Festival was intentional, reflecting the strategic role of women in shaping cultural identity and economic progress.
He noted that women in both Nigeria and China continue to drive innovation, preserve cultural heritage and contribute significantly to national development.
“As lanterns light up the night sky, our women light the path to social and economic progress,” he said, pledging that the Federal Government would continue implementing policies aimed at expanding opportunities for women in the creative and digital economy.
He added that Nigeria would work toward improving women’s visibility in global cultural and economic spaces through stronger tourism promotion, creative industry investment and international cultural collaborations.
Representatives of the UNESCO Office in Nigeria, Dr. Jean-Paul Ngome Abiaga,
also spoke at the event, describing culture and education as powerful tools for sustainable development and international cooperation.
He emphasized that the celebration’s timing — coming just days before International Women’s Day — reinforced global commitments to gender equality.
He commended progress made in women’s empowerment in both countries, highlighting China’s achievements in expanding women’s access to higher education, entrepreneurship and technology-driven industries, noting that women now represent a significant share of university enrolment and workforce participation in China.
In Nigeria, UNESCO praised ongoing initiatives such as national women empowerment programmes and advocacy campaigns promoting girls’ education and economic inclusion. The organization reiterated that investing in women’s education and skills development remains essential to achieving long-term economic stability and social progress.
Speakers at the celebration urged both nations to translate cultural goodwill into stronger economic partnerships. They highlighted opportunities in tourism development, creative economy expansion, digital skills training and youth entrepreneurship.
Officials said cultural exchange programmes have already contributed to growing mutual appreciation of music, film, fashion and culinary traditions between both societies.
Participants noted that Nigerian and Chinese women are increasingly participating in cross-border cooperation projects, with many contributing to business, technology and community development initiatives in both countries.
Nigeria–China Partnership Strengthens as Officials Champion Culture, Women’s Empowerment and Economic Cooperation
News
Gombe, UNICEF move to combat nutrition commodity theft
Gombe, UNICEF move to combat nutrition commodity theft
The Gombe State government in collaboration with UNICEF, has inaugurated a taskforce to tackle misuse, abuse, and theft of nutrition commodities aimed at addressing malnutrition in the state.
Speaking at the inauguration on Tuesday, Deputy Governor Mr Manassah Jatau, urged taskforce members to adhere strictly to their terms of reference, stressing the importance of safeguarding the health of the population.
He explained that the taskforce’s mandate included identifying, monitoring, and sanctioning anyone diverting, hoarding, destroying, or misusing nutrition commodities intended for malnourished children and other vulnerable groups.
Jatau noted that malnutrition remained a major challenge in northern Nigeria, particularly the North West and North East zones, emphasising that protecting nutrition supplies ensured better returns on government and partner investments.
He outlined the taskforce’s responsibilities, including monthly monitoring of health facilities and storage sites, investigating diversion cases, recommending sanctions, and developing guidelines for transparency and accountability in handling nutrition commodities.
Dr Nuzhat Rafique, Chief of UNICEF Bauchi Field Office, expressed concern over the diversion of life-saving nutrition commodities to the market, depriving malnourished children of critical protection and care.
She highlighted that nutrition supplies were essential for children suffering from Severe Acute Malnutrition (SAM) and warned that the number of chronically malnourished children was increasing in the state.
Rafique urged the taskforce to diligently prevent diversion or abuse of all nutrition and medical supplies, ensuring aid reached the children who needed it most.
Chairman of the taskforce, Mr Salisu Baba-Alkali, Commissioner of Budget and Economic Planning, assured that the committee would deliver on its mandate, reflecting the government’s strong political will and commitment.
The News Agency of Nigeria (NAN) reports that the taskforce underscores Gombe State’s institutional effort to protect life-saving nutrition commodities from misuse, diversion, and theft across health facilities and storage centres.
The initiative is aimed at ensuring that the supplies reach malnourished children and other vulnerable populations as intended by the government and its development partners.
Gombe, UNICEF move to combat nutrition commodity theft
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