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

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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

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ADC Unveils Timetable, Guidelines for 2025/2026 Congresses, National Convention

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ADC Unveils Timetable, Guidelines for 2025/2026 Congresses, National Convention

By: Michael Mike

The African Democratic Congress (ADC), has released a comprehensive timetable and guidelines for the conduct of its congresses and national convention for the 2025/2026 political year, as part of efforts to strengthen internal democracy and reposition the party ahead of future elections.

The guidelines are contained in a National Secretariat Circular dated December 30, 2025, and signed by the party’s National Chairman, Hon. Nafiu Bala Gombe.

According to the circular, the party’s activities will commence with a Board of Trustees (BoT) meeting scheduled for January 5, 2025, followed by a National Executive Committee (NEC) meeting on January 7, 2025.

Key agenda items at the NEC meeting include the filling of vacancies in the National Working Committee (NWC), the fixing of dates for membership registration and revalidation, and preparations for ward, local government and state congresses.

He said: “For 2026, the ADC announced that membership registration and revalidation will take place from January 2 to January 15. This will be followed by ward executive committee congresses on January 17, with matters arising to be addressed between January 19 and 22.

“Local government congresses are scheduled for January 24, while state executive committee congresses will be held on January 31, 2026. Matters Arising: February 2-5, 2026 National-Level Activities.

“National Working Committee Convention: d. The approved delegates to the State Congresses, as provided for in Article 24 (a) – (e) and specifically modified by a resolution of the NWC at its 17th December, 2026 in National
headquarters Abuja are as follows: Local Government Chairmen

“LGA Secretaries; Youth Leader; Women Leader; State Executive Committee members and National Executive Committee (NEC) members from the State; PWD Leader; Ex-Officio Member; All Elected Council Chairman and their Deputies; Board of Trustees Member; Zonal National Officer; Any Elected National / State Assembly Members; Legal Adviser.

“States shall constitute Congress Planning Committees, membership of which shall not include persons contesting for any of the state executive offices.

“All persons willing to contest for state offices shall register their intentions with the State Congress Committee with an intention Fees N2,000.00 (Two Thousand Naira Only) which the Congress Committee may utilize for the purpose of financing the congresses, in part.

“The State Executive Committee shall supervise the work of the Congress Planning Committee to ensure strict compliance with the guidelines on State Congresses.

“Approved composition and distribution of the State Executive Committee members should, as much as practicable, be carried out according to the Senatorial Zones and in compliance with the Party’s Constitutional provision (Article 5, 17):

“Senatorial Zone with the highest number of members (6 positions). Chairman; Asst. Secretary; Asst. Financial Secretary; Auditor; Organizing Secretary; Women Leader; Senatorial Zone with 2nd highest number of members (5 positions); Vice Chairman, Treasurer, Legal Adviser, Asst. Publicity Secretary, Asst.”

On zoning, the ADC disclosed that distribution of state executive committee positions should, as much as practicable, reflect senatorial zones and comply with the party’s constitutional provisions.

The party’s National Working Committee convention is slated for February 13 to 15, 2026.

The party emphasised that only validly registered or revalidated members whose names appear in the official membership register will be eligible to participate in the congresses, in line with provisions of the ADC constitution.

State chapters were also directed to formally notify the National Secretariat of the dates, venues and times of their congresses to enable proper communication with the Independent National Electoral Commission (INEC).

He said: “The criteria for qualification to contest for executive positions in the State Executive Committee are as follows: At least, attendance of Secondary School; The Offices of State Legal Adviser, Treasurer and Financial Secretary should have experiences in their respective professions; else the offices should be occupied by persons best deemed suitable.

“The Office of the State Youth Leader must NOT be more than 25 years while that of the State Woman Leader is exclusively reserved for Women.

“All pre-congress appeals shall be determined not later than 24 hours before the congresses while all appeals consequent upon the congresses shall be determined within 3 days after the congresses.

“The Congress Planning Committee shall submit reports of congresses to the National Secretariat via adcnationalcongressreformcommitee@gmail.com not later than 5 working days after the congresses.”

The party urged members and state chapters to strictly adhere to the guidelines to ensure transparent, credible and orderly congresses nationwide.

ADC Unveils Timetable, Guidelines for 2025/2026 Congresses, National Convention

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Multiple terrorists neutralised in Sambisa as coordinated strikes unsettle ISWAP commanders

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Multiple terrorists neutralised in Sambisa as coordinated strikes unsettle ISWAP commanders

By: Zagazola Makama

Fresh intelligence emerging from the Sambisa Forest indicates significant disarray within the Islamic State West Africa Province (ISWAP) following a series of coordinated ground and aerial strikes by Nigerian forces that dislodged key terrorist hideouts and neutralised dozens of fighters at the turn of the new year.

Zagazola Makama report that on Jan. 2, 2026, intercepted intelligence revealed growing concern among senior ISWAP commanders, including Jundullah and Ibn Hataf, after troops launched a surprise and “deadly” assault on the Balangaje hideout deep inside the Sambisa Forest on Jan. 1.

According to the sources, the Balangaje position described as a long-standing ISWAP enclave was completely overrun by the troops of Operation HADIN KAI, forcing surviving fighters to flee in disarray to other parts of the forest.

The commanders reportedly admitted that their forces were caught unprepared, resulting in a chaotic retreat in which many fighters were cut off and forced to escape individually, abandoning weapons, logistics and command structures.

More critically, the terrorists expressed concern over the fate of several senior commanders who have remained unaccounted for since the assault, raising strong indications of leadership casualties or severe command-and-control breakdown.

Security sources confirmed that the ground assault on Balangaje was launched by forces of 21 Armored Brigade operating in Nguro Soye in Bama Local Government Area.

Zagazola report that this ground success was decisively reinforced by precision air operations conducted under Operation Hadin Kai (OPHK), marking what one source described as a “welcome to 2026” for insurgent groups operating in the North-East.

On Jan. 1, following authorisation by OPHK, air assets engaged multiple high-value terrorist targets across Sambisa, Gava and the wider OPHK Area of Responsibility.

At about 0027 hours, an armed aircraft code-named Dragon, carried out a precision strike on a building with solar panels at Chiralia, identified as a terrorist logistics and command facility. Battle Damage Assessment (BDA) confirmed the structure was engulfed in flames, with secondary explosions suggesting the presence of stored fuel, explosives or logistics caches.

Further ISR operations tracked suspected Boko Haram Terrorists converging between rocky outcrops in the Gava axis. At approximately 0035 hours on Jan. 2, a precision strike was authorised and executed on the identified coordinates, with Battle Damaged Assessment confirming that about 11 suspected terrorists were neutralised.

Minutes later, surveillance assets observed about 10 additional terrorists fleeing the Gava settlements in panic after hearing the explosions. Continuous tracking revealed another convergence of about eight fighters under a tree, prompting a second precision strike at about 0114 hours.

BDA from the second engagement indicated that the eight terrorists were neutralised, while others fled in different directions. A secondary explosion was again observed near the strike point, reinforcing assessments that the location served as a weapons or logistics cache.

In a related operation, ISR assets identified a large concealed structure covered by trees and fitted with materials suspected to be solar panels, alongside a smaller adjoining building. Following clearance, the larger structure was engaged at about 0229 hours on Jan. 2, with BDA confirming its complete destruction.

Security analysts say the cumulative impact of these strikes has been profound. Beyond the immediate neutralisation of fighters, the operations degraded ISWAP’s logistics, energy supply, shelter and command infrastructure, while also exposing vulnerabilities in what had been considered secure forest hideouts.

The fact that ISWAP commanders are openly worried about missing senior leaders is significant. It points to either high-value casualties or a breakdown in their internal communication, both of which weaken their operational effectiveness.

The Sambisa Forest, once the symbolic and operational heartland of Boko Haram factions, has increasingly become a contested battlespace, with sustained intelligence-driven operations denying terrorists the freedom to regroup or reorganise.

The latest operations also illustrated the growing synergy between ground surface forces and air assets, particularly ISR-enabled precision strikes that exploit real-time intelligence to devastating effect.

The loss of Balangaje and the destruction of multiple hideouts across Chiralia, Gava and IRONS GATE axes further compress ISWAP fighters into smaller, more exposed pockets, increasing the likelihood of defections, internal fragmentation and further leadership losses.

As of press time, operations across the Sambisa Forest were ongoing.

The latest successes reaffirm the momentum of Operation Hadin Kai and suggest that insurgent groups entering 2026 are doing so under sustained pressure, shrinking space and growing internal anxiety over survival.

Multiple terrorists neutralised in Sambisa as coordinated strikes unsettle ISWAP commanders

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Gunmen abduct village head in Kwara, wife injured

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Gunmen abduct village head in Kwara, wife injured

By: Zagazola Makama

Gunmen have abducted the village head of Afin community in Babanla area of Kwara State, injuring his wife during the attack.

Security sources said the incident occurred at about 10:00 a.m. on Jan. 2, when the assailants invaded Afin Village via Babanla, firing sporadically to scare residents.

The sources said the attackers whisked away the village head, Oba Simeon Olaonipekun, while his wife sustained gunshot injuries during the attack.

She was rushed to the General Hospital, Omu-Aran, for medical treatment.

Following the incident, security personnel and local vigilantes were mobilised to the area to track the assailants and rescue the abducted traditional ruler.

The sources said the scene of the incident was visited as efforts continued to trail the gunmen and prevent further attacks in the area.

Investigation into the abduction, the sources added, was ongoing.

Gunmen abduct village head in Kwara, wife injured

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