News
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
News
Former Kaduna governor El-Rufai loses mother
Former Kaduna governor El-Rufai loses mother
By: Zagazola Makama
The former Governor of Kaduna State, Nasir Ahmad El-Rufai, has lost his mother, Hajiya Umma, who passed away on Friday.
The announcement of her death was announced by the Elrufai Family on Friday.
Family sources said the deceased had been battling age-related health challenges, which worsened in recent times.
According to the sources, her condition reportedly deteriorated further after she learned of the detention of her son by the Independent Corrupt Practices Commission (ICPC).
They noted that El-Rufai had been closely managing his mother’s health prior to her demise.
The family prayed for Almighty Allah to forgive her shortcomings and grant her Aljannatul Firdaus.
Former Kaduna governor El-Rufai loses mother
News
NSCDC Unveils Five-Year Strategy to Strengthen National Security
NSCDC Unveils Five-Year Strategy to Strengthen National Security
By: Michael Mike
The Commandant-General of the Nigeria Security and Civil Defence Corps (NSCDC), Abubakar Audi has unveiled a comprehensive five-year strategic roadmap aimed at strengthening national security, boosting operational efficiency and enhancing professionalism within the Corps.
Speaking at a high-level meeting with commanding officers from state formations across the country, Audi described the gathering as both “historic and strategic,” noting that it signaled the beginning of the second phase of his leadership following his reappointment.
The NSCDC boss expressed gratitude to President Bola Ahmed Tinubu for approving his reappointment and to the Minister of Interior, Olubunmi Tunji-Ojo, for recommending him for the position.
According to him, the renewed mandate provides the opportunity to deepen reforms and reposition the Corps for greater efficiency and national relevance.
Reflecting on his previous tenure, Houdi highlighted reforms introduced to tackle internal challenges within the organisation, particularly the issue of staff stagnation that had affected morale among personnel.
He noted that his administration addressed long-standing promotion delays and salary arrears, adding that efforts were ongoing through a presidential committee responsible for settling outstanding payments across Ministries, Departments and Agencies.
The Commandant-General also underscored the importance of capacity building, revealing that the Corps had developed a standardised curriculum for its training institutions. He described the initiative as a major step toward strengthening professionalism and operational discipline within the agency.
He said more senior officers have also been sponsored to attend strategic leadership programmes, including courses at the National Institute for Policy and Strategic Studies (NIPSS), aimed at improving institutional leadership and policy competence.
“Training remains central to discipline, professionalism and productivity,” Houdi said, adding that the next phase of his leadership would prioritise retraining and ethical reorientation of personnel.
He also highlighted operational achievements recorded by the Corps, particularly in the fight against oil theft and illegal mining across the country.
According to him, the Corps’ Special Intelligence Squad has dismantled more than 400 illegal refineries, arrested and prosecuted over 1,000 suspects, and secured between 400 and 500 convictions.
Similarly, the Mining Marshals initiative has shut down more than 1,000 illegal mining sites nationwide and facilitated the arrest and prosecution of numerous offenders, including foreign nationals.
Audi said these achievements were made possible through collaboration with other security agencies, particularly the Nigerian Army, as well as partnerships with private sector actors.
The Corps has also expanded its operational infrastructure, with new command facilities constructed in several locations and modern surveillance and communication equipment deployed to formations across the country.
He further disclosed that the agency is establishing a hydrocarbon and maritime surveillance centre in partnership with Tantita Security Services Nigeria Limited, alongside an ICT centre project expected to be completed within the next few months.
As part of the new strategy, the NSCDC will increasingly deploy advanced technologies, including artificial intelligence and drone surveillance, to enhance monitoring and protection of critical national assets.
Aidi outlined key priorities for the next five years, including strengthening discipline within the Corps, expanding training and retraining programmes, deploying modern surveillance technologies and enhancing protection of critical infrastructure.
He also announced plans to establish specialised units dedicated to safeguarding power infrastructure and tackling vandalism in the electricity sector.
The Commandant-General warned that the Corps would maintain zero tolerance for indiscipline and misconduct among personnel.
“We must restore professionalism and discipline. Any conduct outside our code will not be tolerated,” he said.
He urged officers to remain committed to protecting critical national infrastructure and to deepen intelligence sharing and collaboration with other security agencies in strengthening the country’s security architecture.
Audi challenged personnel to demonstrate the Corps’ relevance through tangible results.
“We must prove that we are ready to serve the nation with loyalty, commitment and professionalism,” he added.
NSCDC Unveils Five-Year Strategy to Strengthen National Security
News
ECOWAS Court Launches Five-Year Strategic Plan to Deepen Justice, Regional Integration
ECOWAS Court Launches Five-Year Strategic Plan to Deepen Justice, Regional Integration
By: Michael Mike
The ECOWAS Court of Justice has unveiled an ambitious five-year strategic plan designed to strengthen the rule of law, expand access to justice and deepen regional integration across West Africa.
The plan, which will run from 2026 to 2030, was officially launched on Friday in Abuja, where the leadership of the court outlined a bold vision to transform the institution into a more effective and accessible pillar of justice within the Economic Community of West African States (ECOWAS).
President of the court, Ricardo Goncalves, described the strategy as a decisive moment for the institution, saying it reflects a renewed commitment to strengthening the court’s role in safeguarding justice and promoting stability across the region.

“This moment is not merely symbolic. Above all, it represents a turning point. It is a clear affirmation of our collective resolve to strengthen the role of the Court as a guarantor of the rule of law, a promoter of justice, and a vital pillar of regional integration in West Africa,” he said.
According to him, the new strategy outlines a shared vision focused on institutional transformation, operational efficiency and measurable impact on the lives of citizens within the ECOWAS community.
Goncalves emphasised that the success of the initiative would depend on strong collaboration among judges, court staff and key regional stakeholders, stressing that each group has a critical role to play in achieving the objectives of the plan.
He charged judges of the court to reinforce the quality of jurisprudence, ensure consistency in judicial decisions and contribute to building a justice system that is accessible, timely and widely respected across member states.
The court president also highlighted the pivotal role of administrative staff, describing them as the backbone of the institution whose commitment to efficiency, case management and technical excellence would determine the effectiveness of the new framework.
Beyond internal reforms, he stressed the need for stronger partnerships with ECOWAS member states, regional institutions, legal practitioners, development partners and civil society organisations to ensure effective enforcement of court judgments and greater legal harmonisation across the region.
He noted that improved planning, transparency and a results-driven institutional culture would form the foundation of the strategy, which aims to reposition the court as a more visible and influential institution in regional governance.
In her welcome address, the Deputy Registrar of the court, Marie Saine, described the unveiling of the plan as the beginning of a renewed commitment to justice and service to the people of the ECOWAS region.
She explained that the Strategic Plan 2026–2030 was developed through extensive consultations, rigorous institutional review and forward-looking analysis to ensure that it responds effectively to emerging legal and governance challenges within West Africa.
Saine said the strategy is anchored on five key goals, including ensuring timely and impartial justice, expanding access to justice and legal empowerment, strengthening human rights protection and legal harmonisation, improving transparency and stakeholder engagement, and enhancing institutional capacity and governance.
She noted that the roadmap is both ambitious and pragmatic, providing clear priorities that will guide the court’s work over the next five years.
The ECOWAS Court of Justice serves as the judicial arm of the Economic Community of West African States, with the mandate to interpret community law, protect human rights and resolve disputes involving member states and institutions of the regional bloc.
Officials said the newly unveiled strategic framework replaces the court’s previous plan and is intended to position the institution to respond more effectively to evolving legal demands while strengthening its contribution to justice, peace and regional integration in West Africa.
ECOWAS Court Launches Five-Year Strategic Plan to Deepen Justice, Regional Integration
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