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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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Zulum hits the ground running on Insecurity, vows to complete Ongoing Projects before leaving office

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Zulum hits the ground running on Insecurity, vows to complete Ongoing Projects before leaving office

By: Bodunrin Kayode

Borno State Governor, Professor Babagana Zulum, has reaffirmed his administration’s commitment to tackling the remaining security challenges in the state.

The Governor made this pledge yesterday during the first regular State Executive Council meeting of the year, 2026, held at the Council Chamber of the Government House in Maiduguri.

Addressing members of the cabinet and top government officials before the start of the meeting, Governor Zulum emphasised that 2026 would be a year of consolidation.

He noted that while relative peace has been restored in many parts of the state, the government will not relent in providing the needed security in all parts of Borno.

Beyond the security interventions, Zulum also explained that Government will focus on the resettlement of internally displaced persons by investing in medium- and long-term durable solutions to challenges on the ground.

He noted that his government will also ensure the timely completion of all ongoing developmental projects across the three senatorial zones of the state to cushion the dividends of democracy desirable for the people.

He added that his administration will strengthen the social protection net of residents stating that “social protection remains central to our agenda as we rebuild Borno for a better future.

” While we shall not relent in providing social amenities to the great people of the state, the need to provide social protection to our people cannot be overemphasised.” said Zulum.

The meeting was attended by Commissioners, the Secretary to Borno State Government, Bukar Tijani, Acting Chief of State, Dr Babagana Mallumbe, and other members of the executive council.

Borno state governments have spent over 16 years of their developmental years battling insurgency which has tremendously slowed down the entire machinery of social engineering which should have taken the state to a very high level of stability if there was no security Challenges on ground.

Zulum hits the ground running on Insecurity, vows to complete Ongoing Projects before leaving office

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Rev. Dachomo accuses of Trump bias, vows to go to War

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Rev. Dachomo accuses of Trump bias, vows to go to War

By: Zagazola Makama

The outspoken Christian cleric in Plateau State, Rev. Ezekiel Dachomo has called for ‘WAR’ in the state and also blamed President Donald Trump for bias in deploying United States security asserts in the campaign against the genocide of Christians in Nigeria.

In a footage circulating on social media, the cleric who is the Regional Chairman of the Church of Christ in Nations (COCIN) in Barkin Ladi Local Government Area, made the call while addressing mourners at the burial of seven persons killed in a reprisal attack at Dorowa Babuje village in the local government.

“Rev. Dachoma was also heard declaring that residents would no longer “run away,” adding that if there was to be a “full-blown war,” they were prepared to defend themselves.

“We are not going to run away, if there will be full blown WAR it will start from today to the day that the God has placed for us. Let them continue to gather, we have chosen to die than to remain burying our brothers.

“My fellow brothers and sisters i am rounding this message so that we can go back and stay and go for war, since the Fulani said we will not rest in plateau, they are not afraid of the security from today we will not be afraid of the security.

The cleric further blamed the National Security Adviser, Mallam Nuhu Ribadu, and the Sultan of Sokoto of alleged bias in security arrangements affecting Plateau State and other Christian-dominated communities in Nigeria, saying, “

In a video circulating online, the cleric questioned the deployment of U.S military in muslims dominated northern regions and alleged neglect of Christian communities.

“We have chosen to die rather than continue burying our brothers,” he said, while calling on community members to remain resolute.

“When I invited Trump to Nigeria to come and help us, when Trump responded, their blueprint was that none of the soldiers of the United States should come to Plateau State,” he said.
“They directed their attention to Sokoto, where the Muslim-dominant area the Muslims are enjoying the coming of Trump.”

He continued: “If I were allowed to say Trump is in Nigeria to protect the Muslims… another batch is in Maiduguri, another batch were deployed in Kaduna and Bauchi. In Kwara, no batch is there. Rev. Dachomo further alleged that Christian communities were being neglected, stating: “The Yorubas were allowed to be killed like chicken. Benue, no army is there.”

He also made allegations against the National Security Adviser, Mallam Nuhu Ribadu, accusing him sabotaging deployment of US forces.

“Why is it that he did not allow the American soldiers to come to Plateau State? They cornered them to please his people.”

The cleric alleged that insurgents who fled military operations elsewhere had relocated to Plateau communities. The insurgents that escaped from Sambisa and from Sokoto are right here in Manda, in Fars, in Okolindiri, Lingerie,” he claimed.

“It is from Lingerie that they came and killed those people, because the real training ground of terrorists is Lingerie.”

Rev. Dachomo also referenced the Sultan in his remarks, alleging what he described as a broader agenda against Christians. “That is Sultan road map to wipe out Plateau Christians and other Christians in Nigeria,” he said.

Despite his strong accusations, the cleric acknowledged the efforts of local security operatives in preventing greater casualties during the recent attack.

“This could have been more than 100 corpses, but God used the security to give us enough protection when they saw the security move quickly,” he said.

Also, Barrister Solomon, President of the Berom Youths, was also heard in a related video expressing the same threat against the existence of Fulani in plateau state. “We can no longer guarantee peace and security on the Plateau if Fulani continue grazing on our land.”he said.

Solomon declared that the Fulani should awaits their response. “Fulani you have taken credit, Fulani You have taken credits,”he said.

Meanwhile, in a subsequent clip, however, he appeared to temper his earlier tone, saying: “Even some security have tagged me for the comments we made yesterday. My life is not more precious than this city. “I will not incite any violence in Plateau, but we deserve to be protected. We deserve it.”he said.

“I’m using this opportunity to call on our people let’s remain calm. Let’s continue as law-abiding citizens. We are not praying for similar things to happen. We are not at war with anybody.”

“The hausa of the Yoruba, the Igbos, and any other person that comes to Plateau should have it at the back of his mind that he will settle peacefully.”

“A Plateau man has never been known for any act of terrorism. But the Fulani have declared war on us, and it is so unfortunate that some people are falling victims of circumstance.”

He also appealed to federal authorities, stating:
“We are calling on Mr. President and the security governor. Please sir, since having security in our domain cannot guarantee our safety, why will it not be relocated to where the bandits are settled? So we will then know when they will come to attack us.”

Zagazola Makama report that Plateau State has witnessed recurring communal and banditry-related violence over the years, with security agencies continuing operations to curb attacks in vulnerable communities.

Rev. Dachomo accuses of Trump bias, vows to go to War

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Forensic Team Exhumes 105 Bodies in Probe of 2025 Yelwata Killings

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Forensic Team Exhumes 105 Bodies in Probe of 2025 Yelwata Killings

By: Zagazola Makama

A team of federal medical pathologists has exhumed 105 bodies from mass graves in Yelwata community, Guma Local Government Area of Benue, as part of ongoing investigations into the June 13, 2025 attack on the area.

Security sources told Zagazola Makama that the team, led by Prof. Saad Ahmed from the Office of the Attorney-General of the Federation (AGF), Abuja, arrived in Yelwata on Feb. 23, 2026, alongside operatives of the Intelligence Response Team (IRT), Abuja.

The sources said the delegation included members of the Presidential Medical Delegation and worked in collaboration with officials of the Benue State Emergency Management Agency (SEMA).

According to the sources, locations of the graves were identified on the same day under adequate security provided by the Benue State Police Command.

The exhumation exercise commenced on Feb. 24, during which seven bodies were recovered.

The team continued the exercise on Feb. 25 and Feb. 26, exhuming additional remains, bringing the total number of corpses recovered to 105 from 13 mass graves located in and around Yelwata community.

The exercise was concluded on Feb. 26.

Police sources said the exhumation was conducted to facilitate forensic inquests and strengthen evidence in the ongoing prosecution of suspects linked to the killings.

“Seven corpses were initially exhumed by the IRT-led federal investigators for inquest. The exercise continued and further development will be communicated,” a security source said.

The deployment of forensic experts followed proceedings at the Federal High Court in Abuja, where nine suspects were arraigned on Feb. 2, 2026, before Justice Joyce Abdulmalik in connection with the Yelwata attack.

The court had emphasised the importance of forensic evidence to ensure a fair trial and proper determination of culpability.

Security officials said adequate measures were put in place to ensure the exercise was conducted peacefully and without disruption.

The June 13, 2025 attack on Yelwata community reportedly resulted in the deaths of several residents and displaced many others, prompting widespread condemnation and calls for justice.

The Office of the Attorney-General of the Federation had earlier commenced prosecution of suspects arrested in connection with the incident.

Authorities said further updates would be communicated as investigations progress.

Forensic Team Exhumes 105 Bodies in Probe of 2025 Yelwata Killings

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