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
Education
Adamawa, GPE open bid for 14 projects
Adamawa, GPE open bid for 14 projects
Adamawa Government with Global Partnership for Education (GPE) has opened a bid for 14 projects to upgrade Mega Science Technical School, Gulak to College of Technology, Innovation and Entrepreneurship Studies (COTIES).
Speaking at the bid opening, in Yola, Hajiya Aisha Umar, the Permanent Secretary Ministry of Education and Human Capital Development, said the government was committed to ensuring due process was followed when contracting projects.
“That’s why we are here today, to at least show the world that we are doing the right thing.
“I’m expecting that the right people will be awarded the contract; those that are here, and those that complied with the rules and regulations,” she said.
Umar said that 45 companies have currently bidded for 15 categories of the projects.
Umar assured that they would observe transparency in selecting those that would do the contract.
In his remarks, Mr Faruq Adamu, Procurement Officer, identified the 14 projects as the construction of electro-mechanical services and perimeter fencing of Hong and Lamurde Mega Science Schools.
The construction of four Block of 80-Room Hostels with Porter’s Lodge, Common Room and toilets each are among the projects.
Others are the Construction of one Block of 4-Bedroom Bungalow with One-Bedroom Boys’ Quarters, and one Block of 3-Bedroom semi-detached Bungalow for Rector and Deputy Residences in Gulak.
Adamu added that fencing of Hong and Lamurde as well as additional Electro-Mechanical Services were among the work to be done.
Responding on behalf of the contractors, Mr Adamu Umar, appreciated the state government for following due process and transparency.
He assured that, as professionals, they would abide by all the guidelines for a successful business
Adamawa, GPE open bid for 14 projects
News
Eliminating NTDs key to Gombe’s economic growth, better health outcomes – -Stakeholders
Eliminating NTDs key to Gombe’s economic growth, better health outcomes – -Stakeholders
Some stakeholders in the health sector have called for more actions and investments as part of efforts to eliminate Neglected Tropical Diseases (NTDs) in Gombe State.
They stated that eliminating NTDs would result in significant economic benefits through increased productivity while reducing health risks amongst residents of the state.
They highlighted the benefits of an NTDs-free status for the State on Tuesday in Gombe, during a Media Dialogue on NTDs Elimination in Gombe State.
The meeting was organised by the Gombe State Government in partnership with the Federal Ministry of Health and Social Welfare, and supported by the United Nations Children’s Fund (UNICEF) and other development partners.
Hajiya Hawau Abubakar, the NTDs North East Zonal Coordinator, Federal Ministry of Health and Social Welfare said that “significant progress” had been made in the fight towards ending NTDs in Gombe State.
Abubakar said the commitment of the state government and support from the Federal Government and other development partners towards the elimination of NTDs was good for the health of citizens in the state.
She stressed that an NTDs-free status for Gombe would impact positively on the wellbeing of children and residents as well as the economic profile of the state.
“Eliminating NTDs will help improve social outcomes like education while eradicating NTDs-related obstacles that prevent children from growing and fulfilling their potential in life.
“These diseases affect the poor, so their elimination can significantly reduce poverty, improve overall health, and support progress on multiple United Nations Sustainable Development Goals (SDGs).”
According to her, NTDs like lymphatic filariasis (elephantiasis) and trachoma can lead to permanent disfigurement, chronic pain, and blindness.
She stated that eliminating NTDs would help prevent the above consequences while preserving physical function and quality of life.
Mr Hilary Adie, the NTD National Consultant, UNICEF said eliminating NTDs would help improve on the wellbeing of children, stressing that for every adult affected by river blindness, a child is assigned to lead them, and “this would affect the child in every way.”
Adie said that severe disabilities and disfigurements associated with NTDs impose a significant burden on countries, limiting their citizens’ ability to reach their full potential.
“The impact of NTDs goes beyond health, deterring economic growth and resulting in billions of United States dollars in lost productivity annually,” he said.
“Eliminating neglected tropical diseases (NTDs) significantly reduces health risks by preventing severe illness, disability, and premature death, while also breaking the cycle of poverty and improving overall public health infrastructure and socioeconomic development.
“By reducing illness and improving cognitive development, NTD elimination leads to better school attendance and performance in children.
“In adults, it increases productivity and earning potential by reducing workdays lost to illness and disability.
On her part, Dr. Nuzhat Rafique, the Chief of Field Office, UNICEF Bauchi said that Gombe State would gain a lot from eliminating NTDs in the state.
Rafique saidthat one of the ways of eliminating NTDs in the state was to attain open defecation free status for Gombe State, hence stressing the need for an integrated approach to ending NTDs.
She said that since NTDs were preventable, there should not be a reason for anyone to suffer from the disease in Gombe State and Nigeria.
She called for an integrated approach of using community-based social mobilisation to improve health outcomes by promoting better water, sanitation, and hygiene practices in the state.
The UNICEF official commended efforts of the government and all stakeholders while stressing the need for more efforts to eliminate NTDs because of its impact on children and society generally.
She urged residents of the state to complement efforts at eliminating the NTDs by “preventing themselves and their families from having contacts with flies and mosquitoes.”
While commending media roles in efforts to eliminate NTDs, She said journalists were “the main game changer” in the task towards ensuring more awareness that would result in behavioural change.
Mrs Maryam Umar, the Programme Manager of Amen Health Care and Empowerment Foundation stated that with the partnership of the state government and development partners, the state had recorded huge success in effort to end NTDs particularly onchocerciasis, (River blindness) Lymphatic filariasis, (Elephantiasis) and Schistosomiasis (Bilharzia ) which are the three most common NTDs in Gombe State.
Umar said that, “an NTD free Gombe is not just a health outcome, it is an economic imperative and a pathway to achieving the Sustainable Development Goals (SDGs),”she said.
Eliminating NTDs key to Gombe’s economic growth, better health outcomes – -Stakeholders
News
VP Shettima Leads FG Delegation To Condole With Environment Minister Over Loss Of Mother
VP Shettima Leads FG Delegation To Condole With Environment Minister Over Loss Of Mother
- Describes the late Hajiya Dayyabatu Lawal’s demise as great loss to Nigeria
By: Our Reporter
The Vice President, Senator Kashim Shettima, on Wednesday, led the Federal Government’s delegation on a condolence visit to the Minister of Environment, Mallam Balarabe Abbas Lawal, at his Zaria family residence in Kaduna State to commiserate with the Lawal family over the passing of their matriarch, Hajiya Dayyabatu Lawal, at the age of 93.
Senator Shettima, who said the delegation was in the state at the behest of President Bola Ahmed Tinubu to extend condolences to the Emir of Zazzau, His Royal Highness, Alhaji Ahmed Nuhu Bamalli, the Minister and the entire Zazzau Emirate, described the passing of Hajiya Dayyabatu, as a great loss to the entire nation.

“We are here at the behest of President Bola Ahmed Tinubu to commiserate with the Honourable Minister of Environment, Mallam Balarabe Abbas Lawal over the demise of the matriarch of the family, Hajiya Dayyabatu Lawal,” he said.
“May Allah grant her soul eternal rest and reward her with Aljana Firdaus give her family and the good people of Zazzau Emirate, Kaduna State, at large, the fortitude to bear the loss.
“May Allah continue to unite the people of Zazzau Emirate and may peace continue to reign in Kaduna State and Nigeria in general,” he stated.
Before proceeding to the Minister’s family residence on arrival in the ancient city of Zaria, VP Shettima stopped at the palace of the Emir of Zazzau, HRH, Alhaji Bamalli, to pay homage and extend President Tinubu’s condolences to the royal father.

At the Emir’s palace, the Vice President prayed Almighty Allah to grant the soul of Hajiya Dayyabatu, who was also a respected mother to the entire Emirate, “eternal rest and reward her with Aljana Firdaus, and also give her family, the good people of Zazzau Emirate and Kaduna State at large, the fortitude to bear the loss”.
Earlier in his remark, the Emir of Zazzau, who thanked Senator Shettima for the visit, commended him for his love and concern for the people of Zazzau Emirate, as well as Kaduna State, just as he extolled the VP’s leadership qualities.
He said, “Your presence here today has brought comfort and strength, while we mourn the passing of my beloved mother, who had lived a life worthy of emulation. Your support is a testament to the values of leadership, solidarity and compassion of a leader. We thank you most sincerely for your presence here today and leadership style.”

On the Federal Government delegation led by the Vice President are the Minister of Agriculture and Food Security, Senator Abubakar Kyari; Minister of Transportation, Senator Sa’idu Ahmed Alkali; Minister of State for Regional Development, Alhaji Uba Maigari Ahmadu; Special Adviser on General Duties to the President (Office of the Vice President), Dr Aliyu Umar Modibbo; Senator Mohammed Sani Musa, and Hon. Yusuf Galambi.
VP Shettima Leads FG Delegation To Condole With Environment Minister Over Loss Of Mother
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