Connect with us

News

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

on

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

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

Obasanjo Unveils Bold Blueprint for Africa’s Security Overhaul, Warns Against New Scramble

Published

on

Obasanjo Unveils Bold Blueprint for Africa’s Security Overhaul, Warns Against New Scramble

By: Michael Mike

Former Nigerian President Olusegun Obasanjo has issued a sweeping and urgent call for a radical overhaul of Africa’s security architecture, warning that the continent risks deeper instability and renewed external domination unless it urgently redefines its approach to security, governance, and intelligence.

Speaking at the third Mashariki Cooperation Conference III (MCC III), Obasanjo challenged Africa’s intelligence chiefs and security leaders to abandon outdated frameworks and embrace a people-focused, technologically independent, and accountable system capable of confronting modern threats.

Delivering a hard-hitting address on “Emerging Geopolitical Dynamics and Africa’s Security Architecture,” the elder statesman argued that Africa’s persistent conflicts are not accidental but stem from “specific, identifiable failures of leadership,” compounded by what he described as intensifying external manipulation.

“We are witnessing the fracturing of the post-1945 multilateral order,” Obasanjo said, pointing to the global fallout from the Russian invasion of Ukraine and contrasting international responses to crises in regions such as Gaza and the Sahel. According to him, these inconsistencies expose a global system that applies its rules selectively—often at Africa’s expense.

A Continent Under Pressure

Obasanjo painted a stark picture of a continent caught in a renewed geopolitical contest, warning of a “new scramble for Africa.” He cited expanding foreign influence through initiatives like China’s Belt and Road Initiative, the growing footprint of Russian-linked security actors across the Sahel and the Horn of Africa, and the vacuum left by the withdrawal of Western forces from key conflict zones.

These developments, he said, have coincided with a surge in terrorism, violent extremism, and an alarming wave of military takeovers across the continent since 2020—what he described as a “coup epidemic.”

Five Pillars for a New Security Order

In response, Obasanjo outlined five concrete propositions aimed at reshaping Africa’s security framework:
• Human-centred security: Prioritising the safety and welfare of citizens over elite interests.
• Continental solidarity: Strengthening joint mechanisms such as the African Standby Force and early warning systems.
• Disrupting illicit financing: Empowering intelligence agencies to tackle financial flows that sustain insecurity.
• Technological sovereignty: Building African capacity in artificial intelligence, cyber defence, and drone warfare.
• Accountable governance: Establishing transparent leadership as the foundation of lasting security.

He stressed that without credible governance, no military or intelligence strategy can succeed.

Intelligence at the Core

Central to Obasanjo’s message was a forceful critique of Africa’s use of intelligence. He described intelligence as “indispensable to conflict prevention” but “woefully underused,” citing missed warning signs in past crises across Liberia, Sierra Leone, Burundi, the Democratic Republic of Congo, and Sudan.

He urged the creation of a truly integrated continental intelligence network, beginning with stronger regional cooperation, and insisted that effectiveness must be anchored in professionalism and civilian oversight.

“Intelligence services that operate with integrity… and are subordinate to civilian authority are not weaker—they are stronger,” he declared.

Leadership Under Scrutiny

In a rare moment of reflection, Obasanjo drew from his own involvement in major African peace efforts, including Nigeria-led interventions under ECOMOG in Liberia and Sierra Leone, and mediation roles in Burundi and Zimbabwe. He argued that successful conflict resolution has always depended on “accurate intelligence, courageous honesty, and selfless leadership.”

He also introduced his “Obasanjo 55+20 Leadership Framework,” a structured model outlining 55 measurable leadership attributes and 20 core values. At its heart, he said, lies “courageous honesty”—the willingness of leaders to confront uncomfortable truths.

A Final Warning

Addressing an audience that included Noordin Mohamed Haji and intelligence heads from across Africa, Obasanjo closed with a stark warning and a challenge.

At nearly 90, he said his decades of experience have shown both Africa’s promise and its recurring failures.

“Africa’s conflicts are not inevitable,” he said. “They are the product of leadership choices. What is required now is the will—and the courage and audacity—to choose differently.”

His message was unmistakable: without decisive reforms, Africa risks remaining a battleground for external powers; with them, it has a chance to secure its future on its own terms.

Obasanjo Unveils Bold Blueprint for Africa’s Security Overhaul, Warns Against New Scramble

Continue Reading

News

Nigeria Woos Diaspora Investors in Silicon Valley, Says “Ready for Business”

Published

on

Nigeria Woos Diaspora Investors in Silicon Valley, Says “Ready for Business”

By: Michael Mike

Nigeria has intensified its push to attract diaspora-driven investments, with the Chairman/CEO of the Nigerians in Diaspora Commission (NIDCOM), Abike Dabiri-Erewa, declaring that the country is fully open and prepared for business.

Speaking in Silicon Valley, California, at a high-level pre-event dinner ahead of the African Diaspora Investment Symposium 2026 (ADIS26), Dabiri-Erewa assured global investors—particularly Nigerians in the diaspora—that Nigeria offers vast and untapped investment opportunities across sectors.

The event, hosted at Santa Clara University, brought together top African and global stakeholders under the theme: “Bridging Africa & Silicon Valley: Shaping the Future of Innovation, Investment, and Inclusive Growth.”

Dabiri-Erewa said Nigeria is deliberately positioning its diaspora as a strategic economic force, leveraging their expertise, capital, and global networks to accelerate national development.

She highlighted ongoing reforms and investment-friendly policies under the administration of Bola Ahmed Tinubu, noting that the government is creating an enabling environment for diaspora participation in critical sectors, including technology, infrastructure, and entrepreneurship.

According to her, the focus is shifting from remittances to structured, long-term investments capable of driving sustainable economic growth and innovation.

“The Nigerian diaspora remains one of our strongest assets,” she said, stressing that deeper engagement would unlock transformative opportunities for both the country and its global citizens.

The NIDCOM boss also commended Almaz Negash, founder of the African Diaspora Network, for convening the platform and fostering cross-continental partnerships.

Beyond the dinner, Dabiri-Erewa held a working session with Nigerian professionals in the United States, many of whom expressed readiness to collaborate with NIDCOM on initiatives aimed at national development.

The engagements attracted a diverse mix of African and American leaders, innovators, investors, and policymakers, reinforcing a growing consensus on the need to build stronger bridges between Africa and the global technology ecosystem.

The gathering underscored a shared commitment to moving beyond traditional remittance flows toward impactful investments that can shape Africa’s economic future.

Nigeria Woos Diaspora Investors in Silicon Valley, Says “Ready for Business”

Continue Reading

News

Zulum Cracks Down on Insurgent Support Networks, Backs Airstrikes on ‘Notorious’ Border Market

Published

on

Zulum Cracks Down on Insurgent Support Networks, Backs Airstrikes on ‘Notorious’ Border Market

By: Michael Mike

Borno State Governor, Babagana Zulum, has issued a stern warning to residents against aiding or providing any form of support to Boko Haram, as intensified military operations target suspected logistics hubs in the North-East.

The warning comes in the wake of recent air operations by the Operation Hadin Kai, which struck the Jilli general area in Gubio Local Government Area on April 11, 2026.

Jilli, a border community linking Borno and Yobe states, has come under scrutiny as a suspected conduit for insurgent activities. According to the governor, the Jilli market—alongside the nearby Gazabure market—had been officially shut down by the state government five years ago due to security concerns.

“I have been properly briefed on the airstrike carried out on Jilli market,” Zulum said, describing the location as a “notorious hub” allegedly exploited by insurgents and their supply chains.

He revealed ongoing high-level consultations with the Yobe State Government and military leadership, underscoring a coordinated regional approach to tackling insurgency and preventing the resurgence of rebel strongholds along state borders.

Zulum emphasized that any decision to reopen markets or resettle communities in conflict-affected zones is taken only after thorough security assessments and in collaboration with the military and other agencies.

Reaffirming his administration’s stance, the governor said protecting civilians remains paramount, while also stressing that individuals found aiding insurgents—whether through shelter, information, or logistics—would face serious consequences.

He urged residents to remain vigilant and support security forces by sharing credible intelligence, noting that community cooperation is critical to dismantling insurgent networks and restoring lasting peace in the region.

Zulum Cracks Down on Insurgent Support Networks, Backs Airstrikes on ‘Notorious’ Border Market

Continue Reading

Trending

Verified by MonsterInsights