News

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

Published

2 years ago

March 5, 2024

Ochuwa Ibrahim

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

Group demands zoning of Gombe Central Senatorial seat to Yamaltu/Deba

Published

5 hours ago

March 30, 2026

Ochuwa Ibrahim

Group demands zoning of Gombe Central Senatorial seat to Yamaltu/Deba

A sociocultural group under the auspices of Nyimatli Development Association (NDA) has demanded that the 2027 senatorial seat of Gombe Central be zoned to Yamaltu Deba Local Government Area of the State.

Speaking at a news conference on Monday in Gombe, Mr Emmanuel Usman, the secretary of the group in the company of other executive members said the demand was from the entire people of Yamaltu Deba LGA.

Usman said the demand was a necessary step for equity, unity, justice and inclusiveness.

He stated that since Gombe Central has two Local Government Areas of Akko and Yamaltu Deba and Akko has held the seat for 16 years, zoning it to Yamaltu Deba would ensure parity and correct the zoning imbalance.

“Akko has held the seat for too long and it is our turn to ensure equitable representation; this is the message from the Tera people and the people of Yamaltu Deba.

“The people of Yamaltu Deba LGA are concerned about the issue of representation at the National Assembly particularly at the Senate.

“Yamaltu Deba is in Gombe Central Senatorial District and the district is owned by Akko and Yamaltu Deba and by extension this seat should go round between the two LGAs in the zone.

“When we returned into the present democratic era, the first senator was from Akko who served for four years and then it returned to Yamaltu Deba, for another four years.
“Until it came to the time when Senator Danjuma Goje, from Akko became senator and he has served four consecutive terms that is for 16 years, without it being returned to Yamaltu Deba.

“We feel as a people if we own this seat collectively, equity and justice should have been the right thing and if Akko has enjoyed 16 years, it should now be returned to Yamaltu Deba,” he said.

Usman said that the people of Yamaltu Deba were already feeling maginalised not because the current senator Goje lacked competence or representation, but because they have been denied the right to represent the district.

He said the LGA has a lot of competent politicians and technocrats who could effectively represent the Senatorial District and fast track development.

Usman pleaded with Goje not to contest the 2027 senatorial seat but allow Yamaltu Deba in the spirit of “our unwritten consensus” for turn taking in representation.

“We have supported Goje, voted for him and given him the platform to lead, it is now time for him to return the favour and step aside for others from Yamaltu Deba to occupy the senate seat.”

He also appealed to Gov Inuwa Yahaya of Gombe State as the party leader of the All Progressives Congress (APC) in the state to listen to their plea towards ensuring fairness, inclusion and justice.

Group demands zoning of Gombe Central Senatorial seat to Yamaltu/Deba

News

Eight aspirants eye Governor Buni’s seat in Yobe

Published

6 hours ago

March 30, 2026

Ochuwa Ibrahim

Eight aspirants eye Governor Buni’s seat in Yobe

By: Yahaya Wakili

As 2027 general elections are approaching, over 8 aspirants from the three senatorial districts of Yobe state are jostling for the governorship ticket of the All Progressives Congress (APC) in the 2027 general elections.

Notably among them are the current Secretary to the Yobe State Government and the longest SSG in Northeastern Nigeria, Alhaji Baba Mallam Wali (BMW) mni; the former Senate President of the Federal Republic of Nigeria and the longest member at the National Assembly since 1999 up to date and the current Senator for the Yobe North Senatorial District, Senator Ahmed Ibrahim Lawan, GCON (SAIL), Sardaunan Bade; and Senator Mohammed Ibrahim Bomai (MIB), two-term Senator for the Yobe South Senatorial District and Madakin Fika Emirate Council.

Others notable among them include Senator Musa Mustapha (COOLERS), current Senator of the Yobe East Senatorial District; Engr. Abubakar D. Aliyu, former Deputy Governor of Yobe State and former Minister of Power and Jarman of the Pataskum Emirate Council; and Kashim Musa Tumsah, a lawyer and diplomat, and hosts of others. The All Progressives Congress (APC) has been ruling the state since the return of democracy in 1999 or since the creation of the state. Muhammad Abba, a political analyst in the state, revealed that we are advising the party stakeholders in the state that if they want the party to continue ruling the state, they should adopt the rotation or zoning formula so that every senatorial district will benefit from the governorship seat in the state.

Dr. Garba Adamu, also a political analyst in the state, said rotation or zoning is the best option for the APC in the state, adding that since the creation of the state, Zone A, or the Yobe East Senatorial District, for a long time has held the power or has produced the governor, and the Yobe South Senatorial District has produced only one governor, Mamman B. Ali, who spent only 18 months in office before he died. But in the Yobe North Senatorial District, Zone C, they never produce anything else, neither the governor nor the deputy; they never get the opportunity or the chance.

He added that, but this time around if the party wants to win the election easily without facing any challenges from the opposition party, they should reintroduce the zoning system because it will encourage the electorates to come out en masse to vote for the party, especially from Zone C, because they picked its son to be the party candidate. However, he said the best candidate from the zone, who would win the election 100%, is Alhaji Baba Mallam Wali (BMW), the current secretary to the state government; he has the capacity, and he has the experience to handle the affairs of the state because of his long experience in administration.

According to him, the election of Baba Mallam Wali as the fifth democratically elected governor of Yobe State will steady impactful walks through the corridors of power at both local and state levels. He is a man blessed with a character of humility, sympathy, and accessibility and a genius in letting go of what rightfully and lawfully belongs to him for peace to reign. However, BMW’s plan is to continue building on what they call the “Renewed Hope and Vision of Governor Mai Mala Buni and the legacy of His Excellency, Senator Ibrahim Geidam,” aimed at delivering a better life for residents of Yobe State.

“Baba Mallam Wali’s agenda is anchored on People-Oriented Development (POD), a strategy designed to ensure that government decisions directly continue to improve the daily lives of citizens. Alhaji Idris Musa, also a political analyst in the state, reiterates his call to the APC-led administration in Yobe State to adopt the rotation formula aimed to balance its political equations, adding that if care is not carefully taken in Yobe politics this time and if they fail to implement the zoning formula, they will face the consequences because likely the opposition party will win the election, because the two senatorial zones will react, especially Zone C and Zone B.

Zone C deserved to pick the governorship ticket of Yobe State in 2027, and if there is fairness, equity, and justice in the 2027 election, then from Zone C, the current Secretary to the State Government, Alhaji Baba Mallam Wali MNI, is capable and has the capacity to hold the ticket, and he will deliver, inshallah.

Eight aspirants eye Governor Buni’s seat in Yobe

News

Reprisal attack leaves two dead as plateau govt imposes curfew in Jos

Published

6 hours ago

March 30, 2026

Ochuwa Ibrahim

Reprisal attack leaves two dead as plateau govt imposes curfew in Jos

By: Zagazola Makama

A reprisal attack has claimed the lives of two persons in Jos North Local Government Area of Plateau State, following an earlier shooting incident along the Jos–Bauchi highway.

A security source said the incident occurred on March 29 at Angwan Rukuba junction, where residents allegedly carried out retaliatory attacks on passersby after a morning assault by gunmen.

According to the source, the initial attack, which occurred at about 7:30 a.m., involved assailants who drove on a vehicle and opened fire on commuters, killing several persons and injuring others before fleeing the scene.

Security sources blamed the attack on cultist, while some blame it on the fulani bandits, sone said they are Boko Haram while some maintain that the attackers were some criminal elements because they fled in a vehicle.

Sources however said that in the aftermath of the shooting, some aggrieved residents reportedly attacked unsuspecting passersby on the highway, resulting in the death of two persons,” the source said.

He added that the situation created heightened tension in the area, with fears of further escalation.

The situation further compounded after a Foreigner went to the scene of the accident to demonstrate and threatened to President Bola Ahmed Tinubu, saying will regret what he was doing for not admitting Christian Genocide.

The Plateau State Government subsequently imposed an immediate 48-hour curfew to restore calm and prevent additional reprisal attacks.

The source said casualties from the incidents had been evacuated to the Jos University Teaching Hospital (JUTH), while security agencies had commenced investigations to identify and apprehend those responsible.

He noted that no arrests had been made as of the time of filing this report.

The source further stressed the need for sustained security presence and community engagement to de-escalate tensions and prevent a breakdown of law and order.

Security agencies have also intensified patrols and surveillance in the area, as efforts continue to restore normalcy and ensure the safety of residents.

Reprisal attack leaves two dead as plateau govt imposes curfew in Jos