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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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Zulum Disburses ₦2bn Starter Packs to 2,970 Trained Borno Youths in Massive Empowerment Drive

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Zulum Disburses ₦2bn Starter Packs to 2,970 Trained Borno Youths in Massive Empowerment Drive

By: Michael Mike

Governor Babagana Zulum on Tuesday rolled out a ₦2.05 billion empowerment package for 2,970 young people trained in vocational skills across Borno State, marking a major push in the state’s transition from humanitarian recovery to economic rebuilding after more than a decade of insurgency.

The beneficiaries, who graduated from nine modern vocational enterprise institutes and centres established by the Zulum administration, received comprehensive starter packs and business kits designed to enable immediate take-off of small and medium-scale enterprises.

The ceremony, held at the Muna Vocational Enterprises Institute in Maiduguri, drew senior government officials, lawmakers and technical education stakeholders, underscoring the scale and strategic importance of the intervention.

Addressing the gathering, Zulum described youth empowerment as a cardinal pillar of his administration, particularly in a state where insurgency disrupted livelihoods, deepened unemployment and left thousands of young people vulnerable.

He said the government deliberately prioritised skills acquisition and entrepreneurship as sustainable pathways to restore dignity and rebuild productive capacity.

“We remain mindful of the devastating effects of insurgency on our communities,” Zulum stated. “It became imperative for government to implement sustainable interventions aimed at restoring dignity, creating opportunities and rebuilding productive capacity among our people.”

The governor noted that since 2019, his administration has established five major vocational enterprise institutes in Muna, Mafa, Biu, Shani and Magumeri, reactivated nine vocational training centres, and set up three Second Chance Skills Entrepreneurship Schools targeted at women and girls.

He disclosed that over ₦40 billion has been invested in building, rehabilitating and equipping vocational institutes, training centres and technical colleges across the state. According to him, the investment aligns with a broader Technical and Vocational Education and Training (TVET) strategy aimed at reducing the number of out-of-school youths, promoting self-reliance and creating a skilled workforce capable of contributing to the state and national economy.

The graduates were trained in high-demand sectors such as information technology, construction, plumbing, tailoring, welding and other artisan trades, reflecting the state’s intention to match training with market realities.

Earlier, Commissioner for Education, Engr. Lawan Abba Wakilbe, said the initiative was a direct product of Governor Zulum’s vision to empower conflict-affected youths with practical, employable and entrepreneurial skills.

He explained that the programme was conceived as part of a broader social and economic rebuilding agenda to support vulnerable groups, particularly young people and women whose lives were disrupted by years of insecurity.

The event was attended by the Executive Secretary of the National Board for Technical Education, Professor Idris Bugaje; Senators Mohammed Tahir Monguno, Mohammed Ali Ndume and Kaka Shehu Lawan; Secretary to the Borno State Government, Bukar Tijani; Acting Chief of Staff, Babagana Mallumbe, among other dignitaries.

With the distribution of the ₦2 billion starter packs, the Borno State Government signalled a deliberate shift from short-term relief interventions to long-term economic empowerment, positioning youth entrepreneurship as a central driver of stability, growth and lasting peace in the state.

Zulum Disburses ₦2bn Starter Packs to 2,970 Trained Borno Youths in Massive Empowerment Drive

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Send Your Kids To Acquire Technical Education Now……Zulum

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Send Your Kids To Acquire Technical Education Now……Zulum

By: Bodunrin Kayode

Borno Governor Professor Babagana Zulum has called on residents to send their wards into the technical vocational and education training (TVET) centre for them to acquire skills for livelihood.

He regretted that there are about nine vocational enterprise institutes/ centres in Borno state but young people are not responding to the opportunities that abound in these training centres the way he felt they should embrace it.

The Governor who attended the graduation ceremony of 2,970 trainees Tuesday at the vocational enterprise institute Muna in the outskirts of Maiduguri said he hardly shed tears over anything but the way the young people dismiss the opportunities offered by these centres sometimes make him to tear up.

Speaking in Hausa to the locals present, he went on ” Look I established centres like this one here, in Mafa and all over the state but sadly the young ones are painfully snubbing these places which is there to change their lives and teach them how to fish.

” I hardly shed tears easily but each time I watch our young ones who need these opportunities snubbing what we brought for them to benefit, I feel bad indeed. It makes me feel like shedding tears.

” This is why I am begging you to please hurry up and ensure you enroll your children to grab this opportunity which is lined up for them now that it lasts.”

He assured the Executive Secretary of the National Board for Technical Education (NBTE), Professor Idris Bugaje that Borno will continue to lead in the TVET centre module of training for as long as there are out of school kids and orphans littering the metropolis and the countryside.

He assured the NBTE boss that Borno is not yet done with his agency adding that he will surely find a way to sit down and work something out that would be beneficial to the state on the long term basis.

Zulum posited that a situation in which a serious business man like Dangote will have to bring in as many as 11,000 technicians from India to boast production in his refinery when young Nigerians would have taken such position is sad.

The Governor warned parents that they have only five years left to think about the offers in the centres and enroll their kids so that they too will become beneficiaries of the goodies offered by the system.

At the end of the speech making session, Gov Zulum, awarded 100,000 naira each to the 2,970 beneficiaries who completed their intensive vocational training across the state.

Zulum equally distributed starter packs and business kits valued at ₦2,050,000,000 to the graduates, aimed at equipping them to establish their own enterprises to become self-employed almost immediately.

The beneficiaries were drawn from the nine vocational training institutes located across Borno State offering skills in fields such as information technology, plumbing, construction, tailoring, welding and various artisan trades.

Governor Zulum, while addressing the gathering, reiterated his administration’s commitment to supporting young people, particularly those affected by over 10 years of insurgency in the state.

“Distinguished ladies and gentlemen, one of the cardinal priorities of this administration has been youth empowerment and the protection of vulnerable members of our society. We remain mindful of the devastating effects of insurgency on our communities, which disrupted livelihoods, increased unemployment and exposed many young people to uncertainty and hardship.

“It became imperative for the government to implement sustainable interventions aimed at restoring dignity, creating opportunities and rebuilding productive capacity among our people.

“It is with great honour and a deep sense of fulfilment that I address this distinguished gathering on the occasion of the graduation and presentation of starter packs to 2,970 trainees drawn from nine vocational enterprises institutes and centres across Borno State.

“In addition, we reactivated nine vocational training centres and three second chance skills entrepreneurship schools dedicated to women and girls.” Said Zulum.

The Governor said that the institutes prioritises the enrolment of vulnerable individuals, particularly those affected by insurgency and provide structured training in diverse vocational and technical trades to enhance employability and economic independence.

Prof Zulum revealed that, his administration had invested over ₦40 billion in the establishment, rehabilitation, and equipping of vocational enterprises institutes, vocational training centres and technical colleges across Borno State since he was sworn into office.

According to Zulum, this strategic investment is aimed at reducing the number of out-of-school youths, promoting self-reliance and developing a skilled workforce capable of contributing meaningfully to both the state and national economy through Technical and Vocational Education and Training (TVET).

Commissioner for Education, Lawan Wakilbe, explained Zulum’s vocational training concept, which he noted is a direct product of the visionary leadership and unwavering commitment of the Governor whose administration recognises the urgent need to empower youths with practical, employable and entrepreneurial skills.

The initiative he stressed is equally part of the Governor’s broader agenda to promote self-reliance, restore dignity, rebuild livelihoods, particularly among conflict-affected youths, women and vulnerable members of the society.

Send Your Kids To Acquire Technical Education Now……Zulum

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FRSC moves to enforce discipline, professionalism

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FRSC moves to enforce discipline, professionalism

The Federal Road Safety Corps (FRSC) on Tuesday, sensitised its personnel in Gombe State to enhance discipline, professionalism, and service delivery.

Corps Marshal, Shehu Mohammed while engaging with personnel at the FRSC Gombe Sector Command said the initiative was borne out of the need to respond to recent operational reports that reveal trends “we cannot and will not ignore.”

Mohammed who was represented by an Assistant Corps Marshal Ezekiel SonAllah said the Corps had observed a disturbing decline in discipline and professionalism.

He said that those lapses had manifested as misconduct, unethical practices, abuse of authority, extortion, reckless enforcement behaviours and other actions that contradicted its mandate and were steadily eroding public trust in the Corps.

The Corps Marshal reminded the personnel that such behaviours were not only unacceptable but endangered the credibility and reputation of the Corps.

“Every time a road user loses confidence in us, our mandate becomes harder to achieve; every act of unprofessional conduct damages the image of thousands of disciplined staff and every abuse of authority weakens the trust built over decades,” he stressed.

Mohammed further told personnel that discipline was not punishment but protection, as “ It protects our reputation, our careers, the Corps and ultimately the lives of Nigerians who depend on us daily.”

According to him, professionalism to the Corps is mandatory and not optional.

The Corps Marshal also warned personnel against extortion, harassment and abuse of authority, emphasising that such acts were illegal and would not be tolerated.

He expressed optimism that the engagement with personnel would help restore the highest standards of discipline, rebuild public confidence, towards making the Corps an enduring symbol of professionalism and integrity.

Our Correspondent reports that the theme of the sensitisation is “Discipline, Reinforcement and Strengthening of Command and Control in the Field Commands.”

Recall that FRSC, in February, dismissed 43 of its personnel over offences bordering on desertion, scandalous conduct and patrol-related misconduct.

The move was described by the Corps as a firm demonstration of its zero tolerance for indiscipline and ethical breaches.

FRSC moves to enforce discipline, professionalism

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