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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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India Strengthens Youth Ties with Nigeria Through Essay Competition Awards

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India Strengthens Youth Ties with Nigeria Through Essay Competition Awards

By: Michael Mike

The High Commission of India in Nigeria has honoured Nigerian winners of an essay competition organised under its newly introduced “Youth Junction” initiative, a programme designed to deepen youth engagement and strengthen people-to-people relations between India and Nigeria.

The prize distribution ceremony which took place at the High Commission in Abuja, drew participation from Nigerian and Indian youths who gathered to celebrate academic excellence, creativity and the growing partnership between the two nations.

Speaking at the event, India’s High Commissioner to Nigeria, Abhishek Singh, said the Youth Junction initiative was created to provide a dynamic platform for young people in both countries to interact, share ideas and explore collaborative opportunities.

He explained that the programme seeks to inspire creativity, learning and innovation among youth while also promoting cultural understanding and strengthening the longstanding diplomatic relationship between the two countries.

Singh noted that young people remain central to the future of bilateral cooperation, stressing that platforms such as Youth Junction would encourage meaningful exchanges and partnerships in areas of shared interest.

The essay competition, which formed part of the initiative, was launched on February 6, 2026 with the theme “Strength of India–Nigeria Bilateral Relationship.” The contest invited Nigerian students to reflect on the evolving partnership between the two countries and highlight opportunities for deeper cooperation.

A representative of Nigeria’s Minister of Youth Development, Ayodele Olawande, commended the initiative, describing it as an important platform for strengthening bilateral relations through youth-driven engagement.

The representative noted that by bringing young Nigerians and Indians together, the initiative would encourage collaboration in areas such as technology, entrepreneurship, cultural exchange and digital skills development.

Participants at the event expressed optimism that sustained youth-focused programmes would open new avenues for cooperation and mutual understanding between both countries.

The High Commission congratulated the award recipients and reaffirmed its commitment to expanding the Youth Junction initiative as part of broader efforts to deepen the enduring partnership between India and Nigeria.

India Strengthens Youth Ties with Nigeria Through Essay Competition Awards

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Journalists Health Insurance Gets A Boost with Hundreds Enrolled in Abuja

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Journalists Health Insurance Gets A Boost with Hundreds Enrolled in Abuja

By: Michael Mike

A major push to improve the welfare of journalists gathered momentum in Nigeria’s capital as media leaders and government officials called on philanthropists and public office holders to sponsor health insurance for reporters.

The call came as more than 150 journalists were enrolled in the Federal Capital Territory Health Insurance Scheme during the launch of a healthcare initiative by the Nigeria Union of Journalists (NUJ) FCT Council in Abuja.

The Mandate Secretary of the FCT Health Services and Environment Secretariat, Adedolapo Fasawe, used the occasion to urge philanthropists, political leaders, business executives and religious institutions to support journalists by purchasing health insurance coverage for them.

According to her, journalists play a critical role in society by amplifying the voices of citizens and holding institutions accountable, yet many remain without access to basic healthcare protection.

“My purpose of coming here today is to ask political office holders, religious leaders and individuals who want their voices to be heard to buy health insurance for a journalist,” she said.

The initiative, spearheaded by the Chairman of the NUJ FCT Council, Grace Ike, is aimed at addressing the long-standing welfare concerns of journalists working in the Federal Capital Territory.

Ike described the launch as a historic turning point for the union, noting that it represents the first structured health insurance programme specifically targeted at journalists in the territory.

“Journalists dedicate their lives to informing the public and shaping national conversations, yet their welfare is often overlooked,” she said. “This initiative is about protecting those who work tirelessly to keep society informed.”

She commended the Chairman of the House of Representatives Committee on Information, Akin Rotimi Jr., for supporting the programme and helping initiate the insurance coverage.

She also praised Fasawe for providing 150 free health insurance slots for NUJ members and acknowledged the support of the Permanent Secretary in the FCT Health Secretariat, Babagana Adam, who pledged to sponsor 50 additional journalists in memory of his late brother.

With these contributions, Ike disclosed that about 200 journalists in the FCT have already secured health insurance coverage under the scheme.

Fasawe further announced an additional 50 insurance slots during the event, pushing the coverage to about 65 per cent of NUJ members in the territory. She revealed that about 480 out of the estimated 800 journalists operating in the FCT are now captured under the health insurance programme.

The health official stressed that expanding insurance coverage aligns with the healthcare reforms being pursued by the FCT Administration under the Minister of the Federal Capital Territory, Nyesom Wike.

She noted that the administration has adopted a zero-tolerance policy toward maternal mortality and has expanded access to free antenatal care and delivery services for vulnerable pregnant women across primary healthcare centres in the FCT.

Also speaking, the National President of the NUJ, Alhassan Yahya, said the initiative was a critical intervention given the extremely low health insurance coverage among journalists nationwide.

He revealed that studies show less than one per cent of Nigerian journalists currently have any form of health insurance, leaving many vulnerable to high out-of-pocket medical expenses.

The programme, unveiled during the NUJ FCT Congress attended by more than 450 members, was widely welcomed by journalists who described it as a long-awaited step toward improving the welfare and security of media professionals in the nation’s capital.

Stakeholders at the event expressed optimism that sustained support from government agencies, private organisations and philanthropists would help extend health insurance coverage to all journalists in the Federal Capital Territory.

Journalists Health Insurance Gets A Boost with Hundreds Enrolled in Abuja

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Before Calling for DSS Disbandment, Look at the Results

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Before Calling for DSS Disbandment, Look at the Results

By: Olumide Bajulaiye

At a time when Nigeria continues to confront terrorism, kidnapping, and organized crime, calls for the disbandment of the Department of State Services (DSS) are not only misplaced but dangerously dismissive of the agency’s recent achievements.

Under the leadership of Oluwatosin Ajayi, the DSS has demonstrated renewed operational focus and intelligence capability in confronting some of the country’s most pressing security threats. Rather than dismantling the agency, the conversation should focus on strengthening and supporting the institution that quietly works behind the scenes to protect Nigerians.

Across the North-East, North-West, and the Middle Belt, the DSS has intensified intelligence-driven operations that have disrupted terror cells and prevented numerous kidnapping plots. These are not abstract claims; they are measurable results that have directly contributed to saving lives and stabilizing communities.

One of the most significant achievements has been the successful prosecution and conviction of key terrorist figures linked to groups such as Ansaru and commanders associated with Islamic State West Africa Province (ISWAP). Convictions of this magnitude signal not only effective intelligence gathering but also coordination with the justice system to ensure that perpetrators face the full weight of the law.

The DSS has also expanded its operational reach beyond traditional conflict zones. Coordinated operations in Abuja, as well as in Nasarawa State, Ebonyi State, and Akwa Ibom State, have led to the arrest of arms couriers and logistics suppliers for terrorist groups. In some cases, even women acting as logistical coordinators for terror networks were apprehended, demonstrating the depth of the agency’s intelligence penetration.

Perhaps one of the most striking operations occurred in Asaba, where DSS operatives intercepted a major arms smuggling network. The operation led to the recovery of more than 50 AK-47 rifles, rocket-propelled grenades (RPGs), grenades, and over 3,000 rounds of ammunition—an arsenal that could have fueled devastating attacks across the country.

The agency’s efforts have also translated into lifesaving rescue missions. In Kaduna State, coordinated DSS operations resulted in the rescue of 79 kidnapped victims. Similar rescue missions have taken place in Niger State, Kebbi State, and Katsina State, returning victims to their families and disrupting the financial networks that sustain kidnapping gangs.

Importantly, these are only the operations that reach the public domain. Intelligence agencies worldwide operate largely in secrecy, meaning many successful interventions remain undisclosed to protect ongoing investigations and operational methods.

This reality makes sweeping criticisms of the DSS particularly unfair. Security agencies should indeed be held accountable, but such scrutiny must be balanced with recognition of genuine accomplishments. Dismissing the agency outright ignores the complex and often dangerous work carried out daily by its officers.

Nigeria’s security challenges require strong institutions, professional leadership, and sustained intelligence operations. Under Ajayi’s leadership, the DSS appears to be repositioning itself toward that goal.

Rather than calling for its disbandment, Nigerians should demand continued reforms, improved oversight, and greater resources to ensure the DSS remains effective in safeguarding national security.

In the fight against terrorism and organized crime, weakening one of the country’s primary intelligence institutions would only serve the enemies of the state—not the Nigerian people.

Olumide Bajulaiye is the Publisher, Daily Dispatch Newspaper, also a media consultant

Before Calling for DSS Disbandment, Look at the Results

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