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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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VP SHETTIMA TO NISS COURSE 18: President Tinubu Acting Decisively To Frontally Address Nigeria’s Security Challenges

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VP SHETTIMA TO NISS COURSE 18: President Tinubu Acting Decisively To Frontally Address Nigeria’s Security Challenges

  • Says president determined to advance security establishment in the country and beyond

By: Our Reporter

The Vice President, Senator Kashim Shettima has said President Bola Ahmed Tinubu has remained steadfast in tackling security challenges in the country, and is acting quickly and decisively to frontally address the concerns.

According to him, the Tinubu administration is determined to support the security establishment in Nigeria and beyond to discharge their responsibilities to the nation.

The Vice President stated this on Tuesday when the faculty and participants of the Executive Intelligence Management Course (EIMC) 18 of the National Institute for Security Studies (NISS) visited him at the Presidential Villa, Abuja.

Led by the NISS Commandant, Mr Joseph Odama, representatives of the 78 participants were at the Presidential Villa to present the executive brief of their end-of-course report to the Vice President who received the report on behalf of President Bola Ahmed Tinubu.

Speaking on the significance of the programme, which had participants drawn from MDAs within Nigeria and beyond, the Vice President said he was impressed with the composition of the EIMC 18, noting that “the security of Africa is a collective responsibility of all stakeholders given the peculiarity of the situation.”

He said, “President Tinubu is working round the clock to address concerns in the security sector. It is absolutely essential that we fuse as one to address these issues and all hands must be on deck to salvage the situation.”

The highpoint of the occasion was the presentation of the report titled, “Non-state Actors in Security Management in Africa: Issues, Challenges and Prospects for Peace and Development” by representatives of the EIMC 18 participants.

Among recommendations made by the participants was the formal harmonisation and integration of a country-base security initiative as part of a broad strategy to strengthen the existing legal framework for peace and conflict resolution across Nigeria and Africa.

Earlier, the Commandant of the NISS, Joseph Odama, told the Vice President that the 18th edition of the flagship programme, EMIC 18 commenced on February 19, 2025, pointing out that it had “been a ten-month journey of intense intellectual discovery, strategic broadening and unparalleled professional fellowship.”

Noting that this year’s team was composed of 78 distinguished participants of the rank of Deputy Directors and above, Odama said they “were meticulously drawn from the military, para-military, law enforcement agencies and strategic ministries, departments and agencies of both federal and state governments.

“In significant testament to our pan-African mandate, we were privileged to host five African countries, which had earlier been mentioned. With the graduation of the AIMC 18, the institute has proudly graduated 1,130 strategic leaders.

“These are men and women who have been rigorously equipped to think critically and act decisively, as well as proffer innovative solutions to the most complex security and developmental challenges facing our nation and the continent at large.”

The Commandant expressed the institute’s deepest appreciation to President Tinubu and the Vice President for their visionary and pragmatic leadership, saying the Renewed Hope Agenda under the President’s stewardship was already manifesting in tangible progress across the nation.

VP SHETTIMA TO NISS COURSE 18: President Tinubu Acting Decisively To Frontally Address Nigeria’s Security Challenges

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Zulum assures FSTC Lassa of adequate security

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Zulum and Salau during the address to the staff and students of FSTC Lassa.

Zulum assures FSTC Lassa of adequate security

By: Bodunrin Kayode

Borno Governor Babagana Zulum has assured management of the Federal Science and technical College Lassa of adequate security for their existence as long as he remains chief security officer of the state.

Prof Zulum assured the management and students of an instant beef up of their security, to ensure that nobody will be endangered or exposed to being kidnapped by insurgents again.

The Governor noted that he will be providing the school with adequate security by deploying a fully equipped squad of civilian joint task forces (JTF) and vigilante to take care of their vigilance and security from now on.

The Governor who was in the school recently to feel their paulse after it was rebuilt from the last attack however urged them to be careful about the girl child admissions in the school obviously to discourage frequent abduction of girls by insurgents.

He suggested that boys other than girls should be hosted in the school’s dormitories for now for obvious reasons adding that he will surely look into the shortage of accommodation encountered by them as a long term fixer.

The Governor also assured that he Will provide more accommodation to teachers in the school adding that fencing will be addressed as soon as possible coupled with a new gate to secure the entrance.

On the need to recruit more teachers, the Governor directed that the Principal should screen some teachers he handpicked on the spot who will be enrolled by the Borno teachers board and posted to teach in their school.

This enrolment he stressed will take place based on the strict requirements of eleven key areas in line with the curriculum of technical schools and they would receive automatic employments from the state government.

On water supply to the school, Zulum assured that he will treat their demands for borehole, toilet and necessary water and sanitation (WASH) demands as priority for the kids

Earlier, the most senior teacher on ground and representative of the Principal Abubakar Salau said that since the last attack of the institution, confidence has been building up which is why they now have 230 students out of which 80 are girls and a total of 61 teaching and non teaching staff.

On Challenges, the Governor assured that the vigilante will be empowered to support the CJTF to secure the place.

“We will fix the fence where it has been damaged and I assure you that we will restore your gate accordingly to ensure all is safe.

“We need a gate to secure the students, more teachers in maths, metal and woodwork, chemistry and physics” teacher Salau had hinted.

Zulum assures FSTC Lassa of adequate security

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Nigeria’s Education Budget Jumps To ₦3.52trn Under President Tinubu

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Nigeria’s Education Budget Jumps To ₦3.52trn Under President Tinubu

** VP Shettima says out-of-school children pose national emergency, calls for private sector co-investment

By: Michael Mike

Nigeria’s education budget has jumped to ₦3.52 trillion in 2025 under President Bola Ahmed Tinubu’s administration, which is a significant increase from ₦1.54 trillion in 2023.

Vice President Kashim Shettima, who stated this in Tuesday in Abuja, said that the number of out-of-school children in the country constitutes a national emergency, calling for collaboration between government and private sector stakeholders to address the problem.

Represented by the Special Adviser to the President on General Duties (Office of the Vice President), Dr. Aliyu Modibo Umar at the opening of the 2025 Nigeria Education Forum in Abuja, VP Shettima noted that education spending under President Bola Ahmed Tinubu reflects the administration’s unwavering commitment to building an enlightened and globally competitive population.

The forum, organised by the Nigeria Governors’ Forum, the Federal Ministry of Education, and the Committee of States’ Commissioners of Education, focused on the theme “Pathways to Sustainable Education Financing: Developing a Synergy Between Town and Gown in Nigeria.”

Senator Shettima said, “Nothing threatens a civilisation more than an uneducated generation. Nations rise when the people, regardless of circumstance, are equipped with the knowledge to imagine a better future and the skills to build it.”

The Vice President emphasised that Nigeria has reached a critical inflection point where traditional government-only funding models can no longer sustain the country’s educational needs. He called for a fundamental shift toward collaborative, innovative, and resilient financing mechanisms.

In his words: “The burden cannot rest on government alone. We must enlist private sector actors, industry leaders, alumni networks, philanthropists, and communities to co-invest in laboratories, research centres, vocational hubs, innovation clusters, and endowment funds.”

VP Shettima detailed substantial increases across key education funding agencies under the President Tinubu administration’s Renewed Hope plan, where, for example, the Tertiary Education Trust Fund (TETFUND) budget grew from ₦320.3 billion in 2023 to ₦683.4 billion in 2024, and now stands at ₦1.6 trillion in 2025.

The Universal Basic Education Commission (UBEC) has distributed ₦92.4 billion in matching grants to 25 states and the Federal Capital Territory. Another ₦19 billion has supported teacher development across 32 states and the FCT, while ₦1.5 billion has reached more than 1,147 communities. Individual state UBE grants have increased from approximately ₦1.3 billion to over ₦3.3 billion, allowing states to access more than ₦6.6 billion through counterpart funding arrangements.

The newly created Nigerian Education Loan Fund (NELFUND), established under the Student Loans Act of 2024, has already disbursed ₦86.3 billion to over 450,000 students in 218 tertiary institutions nationwide.

According to the Vice President, “This Fund signals a new era where no Nigerian is denied tertiary education for lack of money.

“The learning crisis cannot be solved without safe and well-equipped schools, from basic classrooms to technical laboratories. Teachers must enjoy adequate training, welfare, and professional recognition if they are to deliver the outcomes our children deserve.”

He called for deliberate collaboration across federal, state, and local government levels, emphasising the importance of prompt counterpart funding, transparent utilisation of resources, and strict adherence to action plans.

“Since education begins in the community, local governments and traditional institutions must take responsibility for infrastructure development, school maintenance, security, and teacher welfare.

“We are here today because we do not treat education as just a line item in the national budget. We treat it as the foundation of our national identity, the engine of our economic transformation, and the shield of our collective security,” the Vice President said.

Nigeria’s Education Budget Jumps To ₦3.52trn Under President Tinubu

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