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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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FG Unveils Unified System to End Fragmented Aid, Accelerate Poverty Exit

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FG Unveils Unified System to End Fragmented Aid, Accelerate Poverty Exit

By: Michael Mike

The Federal Government has unveiled a sweeping reform of Nigeria’s humanitarian and poverty reduction architecture, adopting a new unified framework aimed at ending years of fragmented interventions and placing vulnerable citizens on a clear path from survival to self-reliance.

At the close of a four-day National Technical Workshop in Abuja, the Minister of Humanitarian Affairs and Poverty Reduction, Dr. Bernard Doro, announced the adoption of the One Humanitarian – One Poverty Response System (OHOPRS) as the country’s new national coordination framework for humanitarian action, social protection and poverty reduction.

Speaking during a press conference at the United Nations House in Abuja, the minister said the initiative represents a decisive shift in Nigeria’s approach to addressing poverty and humanitarian challenges.

“Today marks a defining moment in our journey towards reforming humanitarian interventions and reducing poverty at scale,” Doro told journalists and development partners.

He explained that the workshop, convened by the ministry in collaboration with international and local partners, was designed to tackle what he described as a fundamental weakness in Nigeria’s humanitarian ecosystem — the fragmentation of programmes and lack of coordination among institutions.

The minister illustrated the urgency for reform with a story shared by a field team working in Nigeria’s conflict-affected North-East.

According to him, the team encountered a mother of four who had spent three years receiving intermittent humanitarian support but remained trapped in poverty.

“She received enough food to survive the week, but never enough tools to change her life,” he said.

Quoting the woman’s words, he added: “We are always helped… but we are never moving forward.”

Doro said the story reflects a broader systemic failure in the country’s poverty response mechanisms.

“It is not that support is not reaching people,” he said. “It is that our systems are not designed to move people from survival to self-reliance.”

The minister warned that failure to reform the system would continue to waste scarce resources and leave vulnerable communities trapped in cycles of dependence.

“If a patient arrives at a hospital and ten different doctors each treat one symptom — with no shared notes, no shared diagnosis — that patient may survive the day but will never truly recover,” he said.

“Nigeria’s poor have had many doctors. What they have not had is a consultant who sees the whole person.”

To address these gaps, the government adopted the One Humanitarian – One Poverty Response System (OHOPRS), which the minister described as a national operating system rather than another standalone programme.

“OHOPRS is not another programme,” he stressed. “It is intended as a national operating system.”

The framework is designed to unify humanitarian interventions, social protection programmes and poverty reduction initiatives under a single coordination platform.

According to Doro, the new system will drive five major structural changes in how assistance is delivered across the country.

These include the transition from multiple coordination mechanisms to a single national system, the integration of several beneficiary databases into one national registry architecture, and the shift from project-based funding to a pooled financing structure with stronger accountability mechanisms.

He added that the new framework would also focus on measurable poverty exit outcomes rather than mere intervention delivery, while introducing real-time monitoring systems to strengthen transparency.

Central to the reform is what the minister described as a “Ladder of Progress”, a structured pathway designed to track the journey of every beneficiary from identification to economic resilience.

Under the system, vulnerable citizens will first be identified through the National Social Register. Their interventions will then be tracked using a Unified Beneficiary Register.

Beneficiaries will subsequently move through a Poverty Exit Pathway designed to guide them towards economic independence, after which they will be monitored through a Growth Register to ensure they remain resilient and do not relapse into poverty.

Doro emphasised that the success of the initiative will depend on the alignment of institutions across all levels of government and development partners.

He called on ministries, departments and agencies, state and local governments, development partners, the private sector, civil society organisations and non-governmental organisations to integrate their interventions into the unified national system.

“This reform requires collective commitment,” he said.

The minister also framed poverty reduction as a strategic national priority under the administration of President Bola Ahmed Tinubu, noting that addressing vulnerability is central to national stability.

“Poverty reduction is not an act of charity; it is a pillar of national security,” he said.

“We are no longer content with managing poverty. Our goal is to end it.”

He added that the government’s new approach aims to move beyond temporary relief and focus instead on long-term economic empowerment.

“We are moving from helping Nigerians survive to enabling them to thrive,” he declared.

The workshop brought together government officials, development partners, humanitarian organisations and policy experts to deliberate on the structure, financing and operationalisation of the new system.

With the adoption of the framework, the Federal Government said the next phase will focus on implementation, integration of existing programmes and nationwide alignment of humanitarian and poverty reduction interventions under the OHOPRS platform.

FG Unveils Unified System to End Fragmented Aid, Accelerate Poverty Exit

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El-Rufai’s Bereavement: Northern Christian Youths Praise Tinubu, ICPC for ‘Humanity Above Politics’

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El-Rufai’s Bereavement: Northern Christian Youths Praise Tinubu, ICPC for ‘Humanity Above Politics’

By: Michael Mike

A northern Christian youth group has praised the decision of the Independent Corrupt Practices and Other Related Offences Commission (ICPC) to allow former Kaduna State governor Nasir El-Rufai time to mourn and bury his late mother, describing the move as a reflection of the leadership style of President Bola Tinubu

In a press statement issued on Saturday, the Northern Christian Youth Professionals said the commission’s decision demonstrated compassion and respect for human dignity, values it said have continued to shape the Tinubu administration’s approach to governance.

The group noted that allowing El-Rufai to attend to family matters despite existing political disagreements with the president highlights what it called “politics without bitterness,” where humanity is placed above partisan differences.

According to the statement signed by its chairman, Isaac Abrak, the gesture sends a strong signal that leadership should be guided not only by authority and political interests but also by empathy and understanding.

“The humane decision by the ICPC reflects a leadership disposition that prioritises compassion and respect for human dignity,” Abrak said. “It shows that governance can be conducted with empathy even in the midst of political disagreements.”

The group stressed that the development was particularly noteworthy given the widely known political differences between Tinubu and El-Rufai, arguing that the decision reinforces the president’s belief that political competition should not erase shared human values.

Abrak said the move stands in contrast to earlier periods in Nigeria’s political history when leaders were accused of showing little compassion in similar circumstances.

He recalled that former president Muhammadu Buhari was reportedly not allowed to attend his mother’s burial while he was detained after the 1985 change of government led by Ibrahim Babangida, an episode that generated public criticism at the time.

“Many Nigerians viewed that situation as reflective of a rigid leadership approach that placed limited emphasis on humanity,” the statement said.

The group argued that Tinubu’s leadership has demonstrated that governance can be exercised with grace and empathy without undermining the rule of law.

It also emphasised that granting El-Rufai time to mourn does not interfere with ongoing legal processes, stressing that investigations or judicial procedures should continue after the burial in accordance with the law.

“The pursuit of justice must remain firm,” Abrak added, “but it should not come at the expense of compassion when a citizen is faced with a moment of personal loss.”

The Northern Christian Youth Professionals urged leaders and institutions across Nigeria to emulate what it described as a balanced approach that upholds both humanity and accountability.

El-Rufai’s Bereavement: Northern Christian Youths Praise Tinubu, ICPC for ‘Humanity Above Politics’

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Bangladesh Envoy Seeks Stronger Nigeria Ties, Laments Low Bilateral Trade

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Bangladesh Envoy Seeks Stronger Nigeria Ties, Laments Low Bilateral Trade

By: Michael Mike

The High Commissioner of Bangladesh to Nigeria, Miah Md. Mainul Kabir, has expressed concern over the relatively low volume of trade between the two countries, describing it as far below its actual potential despite the strong diplomatic ties that have existed for decades.

Kabir made the remarks in Abuja while addressing guests at the celebration of the 55th anniversary of Bangladesh’s Independence and National Day. He stressed that expanding economic cooperation between both countries would remain a key focus of his diplomatic mission.

According to him, although trade between Nigeria and Bangladesh has recorded gradual growth over the years, the level of commercial exchange does not reflect the enormous opportunities available to both nations.

“Bilateral trade between our two countries has grown steadily yet remains well below its true potential,” he said. “Bangladesh offers competitively priced, high-quality products in textiles and garments, pharmaceuticals, ceramics, jute goods, processed foods and ICT services, while Nigeria, with its vast market, energy resources and agricultural depth, presents significant opportunities for stronger trade relations.”

The envoy highlighted agriculture as one of the most promising areas for collaboration, pointing particularly to contract farming as a new pathway for expanding bilateral economic engagement.

He explained that Bangladesh’s experience in high-yield and climate-adaptive agricultural production could be combined with Nigeria’s vast arable land and growing agro-processing industry to boost productivity and food security in both countries.

To unlock these opportunities, Kabir said Bangladesh is now intensifying its diplomatic and economic engagement with African nations, with Nigeria occupying a strategic position in that effort.

“Bangladesh is placing renewed focus on strengthening our partnerships in Africa, particularly with Nigeria — a country of immense dynamism, influence and opportunity,” he said.

The High Commissioner noted that the two countries share long-standing cordial relations rooted in similar historical experiences, youthful populations and shared democratic aspirations.

He added that both nations have consistently worked together within major international organisations such as the United Nations, the Non-Aligned Movement, the Organisation of Islamic Cooperation, the D-8 Organization for Economic Cooperation and the Commonwealth of Nations.

According to him, the partnership between the two countries reflects a broader commitment to South–South cooperation and collective efforts by developing nations to promote shared prosperity and global development.

Beyond trade, Kabir identified several other sectors where Nigeria and Bangladesh could deepen collaboration, including education, skills development, digital innovation, technical training and defence cooperation, particularly in professional military training and peacekeeping operations.

He also emphasised the importance of people-to-people engagement, noting that stronger cultural exchanges, academic partnerships and youth cooperation would further strengthen the bond between both nations.

The envoy used the occasion to commend Bangladeshi nationals living and working in Nigeria, describing them as responsible representatives of their country abroad.

“You are exemplary ambassadors of our nation,” he said. “Your hard work and integrity contribute significantly to the economies of Bangladesh and Nigeria and strengthen the bond between our peoples.”

Kabir also reflected on Bangladesh’s development journey over the past five and a half decades, noting that the country has emerged as a significant economic force among developing nations.

According to him, Bangladesh’s nominal gross domestic product is approaching half a trillion dollars, placing the country among the 35 largest economies in the world and making it a leading example of socio-economic progress in the Global South.

In his remarks, Director of Regions at Nigeria’s Ministry of Foreign Affairs, Bukar Hamman, reaffirmed Nigeria’s commitment to strengthening bilateral relations with Bangladesh.

Hamman said both countries share a strong belief in multilateral cooperation, peacebuilding and inclusive development.

“Both our nations have contributed significantly to United Nations peace operations, demonstrating mutual dedication to global peace and security,” he said.

He noted that bilateral engagement between Nigeria and Bangladesh has continued to expand in recent years, particularly in trade, agriculture, education and defence cooperation.

Hamman also welcomed the growing presence of Bangladeshi businesses in Nigeria and encouraged deeper collaboration between private sector actors from both countries.

“There is vast potential for collaboration in textiles, pharmaceuticals, ICT and renewable energy sectors where Bangladesh has developed notable expertise,” he said.

“As we look to the future, Nigeria remains committed to strengthening our ties with Bangladesh. Enhanced cooperation between our two countries will not only benefit our peoples but also contribute to stronger South–South cooperation and global development efforts.”

He added that the celebration of Bangladesh’s independence anniversary was not only an opportunity to reflect on the country’s historical journey but also a moment to recognise its aspirations for continued peace, innovation and progress.

Hamman stressed that Nigeria values Bangladesh as a trusted partner and friend, expressing confidence that the relationship between the two nations would continue to grow stronger in the years ahead.

Bangladesh Envoy Seeks Stronger Nigeria Ties, Laments Low Bilateral Trade

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