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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
News
KACRAN Applauds Buni’s Leadership, Cites Job Creation and Food Security Gains in Yobe
KACRAN Applauds Buni’s Leadership, Cites Job Creation and Food Security Gains in Yobe
By: Michael Mike
The Kulen Allah Cattle Rearers Association of Nigeria (KACRAN) has commended Yobe State Governor, Mai Mala Buni, for what it described as visionary leadership that has significantly improved job creation, food security, and overall wellbeing of citizens in the state.
In a statement signed by its National President, Khalil Mohammed Bello, the association said the desire of any society is to have a leader who prioritizes the welfare, security, and long-term prosperity of the people, noting that Governor Buni embodies such qualities.
KACRAN praised the governor’s humility and accessibility, describing him as a leader who maintains close contact with citizens to better understand their needs and challenges. According to the association, this people-oriented approach has contributed to sustained peace and unity in Yobe State.

Highlighting key achievements, the group noted that Buni’s administration has consistently invested heavily in agriculture by procuring and distributing farm inputs to farmers at subsidized rates. This, it said, has boosted food production and strengthened food security not only in Yobe but across neighboring states.
The association also lauded the establishment of a dedicated Ministry of Livestock, which it said has reinforced Yobe’s position as a leading livestock hub in Nigeria. It added that the construction of modern markets across major towns has further enhanced commercial activities within the state.
On human capital development, KACRAN pointed to the award of scholarships to thousands of students for studies within and outside Nigeria, as well as the construction and rehabilitation of roads, bridges, and other infrastructure to improve connectivity between rural and urban areas.
The group further commended the governor for creating employment opportunities through recruitment into the civil service and various empowerment programmes targeting youths and women.
KACRAN also acknowledged the efforts of the Yobe State Emergency Management Agency (SEMA), led by Mohammed Goje, in providing relief materials to internally displaced persons and vulnerable populations affected by insurgency, floods, and other disasters.
It noted that during the ongoing Ramadan, the state government has intensified food distribution initiatives, ensuring that thousands of households receive daily support as part of broader measures to cushion economic hardship.
While stressing the importance of proactive governance, KACRAN urged other state governments and the Federal Capital Territory to emulate Yobe’s approach to investing in agriculture, human development, and security in order to avert potential food crises and improve living standards nationwide.
The association concluded that sustained commitment to these priorities would promote peace, unity, and long-term stability across the country.
KACRAN Applauds Buni’s Leadership, Cites Job Creation and Food Security Gains in Yobe
News
CDS urges Borno, Yobe residents to take ownership of fight against terror, says enemy operating from within
CDS urges Borno, Yobe residents to take ownership of fight against terror, says enemy operating from within
By: Zagazola Makama
The Chief of Defence Staff (CDS), Gen. Olufemi Oluyede, has raised fresh concerns over internal complicity in the protracted insurgency in the North-East, urging residents of Borno and Yobe to take ownership of the fight against terrorism.
Oluyede’s position, articulated after a high-level security meeting in Maiduguri, signals a strategic shift in emphasis from purely kinetic military operations to community-driven counterinsurgency, as Nigeria battles the enduring threat posed by Boko Haram and the Islamic State West Africa Province.
The meeting, which lasted about four hours, brought together top military commanders, including the Chief of Army Staff, Lt.-Gen. Waidi Shuaibu, the Theatre Commander of Operation Hadin Kai, Maj.-Gen. Abdulsalam Abubakar and other top military officials.
At the heart of the CDS’s message is a troubling reality: the insurgency is being sustained, in part, by individuals that sometimes embedded within affected communities.
According to Oluyede, intelligence reports indicate that many of those responsible for attacks over the past 15 years originate from the same communities bearing the brunt of the violence.
This assertion reinforces long-standing concerns within security circles that local knowledge terrain familiarity, social networks, and community cover has continued to provide operational advantages to insurgents.
He cited a recent example in Kukawa, where troops discovered wounded terrorists hiding within the community during post-attack clearance operations, pointing to the challenge of distinguishing between civilians and collaborators.
The dynamics complicate military efforts, as insurgents exploit familial and social ties to evade detection, making intelligence gathering more difficult despite sustained offensives.
The CDS’s call for residents to “take ownership” reflects a recognition that military القوة alone cannot decisively end the insurgency without active civilian cooperation.
Oluyede’s remarks suggest a push to recalibrate this dynamic by encouraging residents to see the fight as a collective responsibility rather than solely a government burden.
The CDS also acknowledged the evolving tactics of insurgents, particularly the increasing use of drones and other technological in attacks.
Oluyede disclosed that the Nigerian military is adapting, including the deployment of advanced drone systems to enhance surveillance, targeting, and battlefield coordination.
CDS urges Borno, Yobe residents to take ownership of fight against terror, says enemy operating from within
News
FG Pushes for Correctional Reform via Public-Private Partnership
FG Pushes for Correctional Reform via Public-Private Partnership
By: Michael Mike
The Federal Government has reaffirmed its commitment to transforming Nigeria’s correctional system into a hub of rehabilitation, skills development, and national productivity through strategic Public-Private Partnerships (PPPs).
The pledge was highlighted at a stakeholders’ engagement on optimizing correctional farm centres, industries, and PPP opportunities, organized by the Ministry of Interior in collaboration with civil society and development partners.
Representing the Honourable Minister of Interior, Dr. Olubunmi Tunji-Ojo, Permanent Secretary Dr. Magdalene Ajani stated that modern correctional facilities must focus not only on confinement but also on equipping inmates with practical skills for reintegration into society. “Correctional centres must evolve into institutions of transformation—where inmates are prepared to become productive members of society upon release,” she said.

Ajani emphasized the importance of PPPs in achieving this vision, describing them as critical tools for combining government oversight with private sector expertise, innovation, and investment. She added that correctional farm centres and industries could become centres of excellence in agriculture, agro-processing, and value-chain development, contributing to both inmate rehabilitation and national food security.
The Controller-General of the Nigerian Correctional Service, Sylvester Nwakuche, disclosed that the Service currently operates 18 farm centres and 10 cottage industries nationwide, spanning crop production, livestock, fisheries, and poultry.
He noted that collaboration with the private sector would boost productivity, introduce modern techniques, and create sustainable value chains.
Stakeholders, including representatives from government, civil society, development organisations, and the private sector, agreed on the need for actionable and scalable models to drive tangible impact.
On his part, the Chairman of the House Committee on Reformatory Institutions Hon. Chinedu Ogah, called for greater accountability, innovation, and commitment in optimizing correctional farms, noting that agriculture remains a critical driver of economic growth and national security.
The engagement aligns with President Bola Ahmed Tinubu’s administration’s broader reform agenda, which prioritizes institutional strengthening, economic productivity, and sustainable development. Participants were urged to leverage partnerships that transform correctional facilities into engines of productivity, reduce recidivism, and enhance community safety.
The Ministry of Interior reiterated that the success of correctional reform depends on collective action, sustained investment, and a shared commitment to building a humane and development-oriented correctional system.
FG Pushes for Correctional Reform via Public-Private Partnership
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