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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
Flood: NGO cautions Gombe residents against indiscriminate dumping of waste
Jewel Environmental Initiative (JEI), a Non-Governmental Organisation (NGO), in Gombr, on Friday tasked residents in the state on proper disposal of waste to mitigate the impact of flooding this 2026.
The Chief Executive Officer of the NGO, Mr Ismail Bima, made the call in an interview with our Correspondent in Gombe on Friday.
According to Bima, the huge losses associated with flooding and its negative impact on the environment and livelihoods has made it imperative for collective efforts to tackle flooding in Gombe.
He urged residents to take responsibility in ensuring a clean environment for their wellbeing.
“We have been sensitising residents for weeks now because of the impact of flooding on our people, communities and livelihoods.
“We must not wait for the rain before doing the right thing.
“Avoid dumping wastes in drains and water channels; this is key to addressing flood related disasters as the rainy season commences,” he said.
Bima disclosed that his team had intensified sensitisation exercise in Kwami, Nafada, Funakaye and Yamaltu/Deba Local Government Areas of the state because they were proned to flooding..
He said that the flooding in Funakaye had been attributed largely to buildings erected in waterways, stressing that,”residents should vacate the area.
“I urge the state government to relocate people from such areas to help save lives and properties.
He commended th State government’s efforts in reclaiming degraded land and building huge concrete gullies in several communities to help manage severe erosion.
He said that the concrete gullies have helped in protecting critical infrastructure and livelihoods of thousands of residents in the state.
Bima urged the government and residents to take advantage of the rainy season to plant more trees to replace those that have been fellen for firewood and charcoal purposes.
Flood: NGO cautions Gombe residents against indiscriminate dumping of waste
Angwa-Rukuba Killings: Court orders suspects to remain in DSS’ custody
*Okays speedy trial
By: Our Reporter
A Plateau State High Court on Friday ordered that four suspects standing trial for their alleged involvement in the March 2026 killings in the Angwa Rukuba community of Jos North Local Government Area, remain in the custody of the Department of State Services (DSS).
The court also agreed to a request by the prosecution to speed up the trial. The matter was adjourned to May 26 to consider the report on the case management conference, and 1st and 2nd July for hearing.
The suspects, identified as Isa Umar Ibrahim, Auwalu Abubakar (also known as Auwalu Dogo), Musa Abubakar Ibrahim (also known as Yaroro), and others, are facing charges of terrorism and criminal conspiracy.
The charges were filed by the State Attorney General, Philemon Daffi, under the Plateau State Penal Code Law, 2017.
On Friday, Mustapha Shabbat (SAN), who announced his appearance for the defendants, objected to their continued detention in the facility of the DSS.
In a short ruling, however, the trial judge held it it remained the discretion of the court to determine where to keep suspects under trial.
“Considering the facts and circumstances of this case, this honorable court has jurisdiction to remand the defendant in the custody of DSS or correctional centr provided the place of custody is safe.
“The defendants are hereby remanded in the custody of the DSS. They must however be allowed to have access to his counsels while in detention pending the prompt conclusion of investigation,” ruled the judge.
Court: Case management has already been taken place in accordance with the provisions of the law. The case is hereby adjourned to 26th May for report of the court on case management and further adjourned to 1st and 2nd July, 2026 for hearing.
The particulars of offence read, in part “That you, Isa Umar Ibrahim, Musa Abubakar Ibrahim of Riyom Local Government Area, Auwalu Abubakar (A.K.A Auwalu Dogo) of Jos North Local Government Area, Musa Abubakar Ibrahim (A.K.A Yaroro) of Jos North Local Government Areas of Plateau State; and one Ado Ibrahim (Now at Large) of Riyom Local Government Area of Plateau State, on the 28th day of March, 2025 at Farin Gada, Jos North Local Government Area, did conspire amongst yourselves to commit offences relating to terrorism when you planned, organized, facilitated, aided, and contributed money to carry out the attack in Angwan Rukuba, Jos North Local Government Area of Plateau State within the Jurisdiction of this Honourable Court; you thereby committed the above offence.
“That you, Isa Umar Ibrahim, Musa Abubakar Ibrahim of Riyom Local Government Area, Auwalu Abubakar (A.K.A Auwalu Dogo) of Jos North Local Government Area, Musa Abubakar Ibrahim (A.K.A Yaroro) of Jos North Local Government Areas of Plateau State; and one Ado Ibrahim (Now at Large) of Riyom Local Government Area of Plateau State, on the 28th day of March, 2025 at Farin Gada, Jos North Local Government Area, did commit the offence of terrorism when you planned, organized, facilitated, aided, contributed and received money to carry out an attack in Angwan Rukuba, which led to the death of over thirty (30) people in Jos North Local Government Area of Plateau State within the Jurisdiction of this Honourable Court.”
Part of the particulars of Alhassan’s offence read, “That you Adamu Isah Alhassan together with one Ibrahim Musa (Now at Large), Imarana Sa’idu (Now at Large), Yusuf Sa’idu (Now at Large) Aliyu Usaini (Now at Large), Yahuza Adamu (Now at Large), Mubarak Yunusa (Now at Large), Yakubu, whose surname is unknown (Now at Large) and others also at large between the months of January to December, 2025 and in January, 2026 at Gwang, Rin Ward, Bachit and Bangai Villages of Riyom Local Government Area and Vom in Jos South Local Government Areas of Plateau State within the jurisdiction of this Honourable Court did commit an illegal act to wit: Culpable Homicide Punishable with Death, when you armed yourselves with guns, attacked and killed the residents of Gwang, Rin Ward, Bachit and Bangai Villages of Riyom Local Government Area and Vom in Jos South Local Government Area of Plateau State, and you thereby committed the above offence.”
Angwa-Rukuba Killings: Court orders suspects to remain in DSS’ custody
*Okays speedy trial
Breaking; Court Dismisses Sowore’s no-case submission in DSS’ charges of Cyberbulling Tinubu.
*Fixes May 19 to open defence
Justice Mohammed Garba Umar of the Federal High Court in Abuja on Friday dismissed the no-case submission made by politician-activist, Omoyele Sowore, in the charge of Cyberbullying President Bola Tinubu brought against him by the Department of the State Services (DSS).
The Court upheld DSS’ charges against Sowore for allegedly calling President Bola Ahmed Tinubu a “criminal” in his social media handles. The judge fixed May 19 for Sowore to enter his defence in the charges against him.
Sowore had filed the no-case submission and prayed the court to discharge and acquit him from the 2-count charge.
In the long ruling, Justice Umar punctured Sowore’s arguments that the DSS provided only one witness, that the victim, President Bola Tinubu, wasn’t invited to testify. He held that the DSS successfully linked Sowore to the alleged crime, and that the defendant did not deny posting the offensive messages online.
The judge further ruled that the Supreme Court has long established that any evidence, no matter how small that links a defendant to an alleged crime is sufficient to establish a prima facie case established against the defendant to warrant his defence in the allegations against him.
Shortly after the ruling, counsel to the DSS, Akinlolu Kehinde, SAN, told the court that he was ready to proceed with the trial. However, Sowore’s counsel, Marshall Abubakar, rose to appeal to the judge that his client has something important to tell the court. Even though counsel to the DSS protested the move, insisting that the rule was that a defendant may be represented in court by a counsel or by himself, not both, the judge allowed Sowore use the microphone to address the court.
He began by openly accusing the Judge of bias, and asked the judge to recuse himself, as he wasn’t sure of getting justice in his court.
He alleged that the judge was in cohort with the federal government convict him at all costs so as to prevent him from contesting the 2027 general election.
His counsel, Abubakar echoed the same sentiment, asking the Judge to return the case file to the Chief Judge of the Federal High Court for re-assignment to another judge,
The DSS lawyer, Akinlolu Kehinde SAN who had earlier asked the Judge not to grant audience to Sowore but his counsel on record, prayed that the recusal application be discarded.
In a brief ruling, Justice Umar ordered Sowore to file formal application for recusal and state his grievances,
He thereafter fixed May 19 for the defendant to open his defense.
Breaking; Court Dismisses Sowore’s no-case submission in DSS’ charges of Cyberbulling Tinubu
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Flood: NGO cautions Gombe residents against indiscriminate dumping of waste
Angwa-Rukuba Killings: Court orders suspects to remain in DSS’ custody*Okays speedy trial
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