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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
APC Backs Tegbe for Power Reforms, Cites Proven Expertise, Strategic Leadership
APC Backs Tegbe for Power Reforms, Cites Proven Expertise, Strategic Leadership
By: Michael Mike
The All Progressives Congress (APC) in Oyo State has hailed the nomination of Chief Joseph Olasunkanmi Tegbe as Nigeria’s Minister of Power, describing it as a timely move amid the country’s persistent electricity challenges.
In a statement issued in Ibadan, the party’s state leadership said Tegbe’s selection reflects both merit and the urgent need for competent leadership in the nation’s power sector.
The statement, jointly signed by State Chairman Chief Moses Adeyemo Alake and State Secretary Hon. Fatai Adesina, expressed strong confidence in Tegbe’s ability to drive meaningful reforms, citing his extensive professional background and policy experience.
Tegbe, an engineer and seasoned policy strategist, brings over three decades of experience spanning engineering, consulting, and public sector advisory.
He previously served as Director-General of the Nigeria–China Strategic Partnership, where he coordinated bilateral development initiatives and investment engagements between both countries.
He also chaired the National Tax Policy Implementation Committee, playing a key role in advancing Nigeria’s fiscal reform agenda and strengthening revenue frameworks.
Before transitioning fully into public service, Tegbe built a distinguished career at KPMG, rising to become Senior Partner and Head of Advisory Services in Africa. In that role, he led major engagements on governance reforms, economic policy, institutional transformation, and investment strategy across both public and private sectors.
Earlier in his career, he worked with Shell Petroleum Development Company, gaining experience in corporate operations and resource management.
Academically, Tegbe holds a first-class degree in Civil Engineering from Obafemi Awolowo University and has attended executive programmes at globally renowned institutions including Harvard and INSEAD, further reinforcing his technical and leadership credentials.
The APC noted that this blend of technical expertise and policy leadership positions him to tackle longstanding challenges in power generation, transmission, and distribution.
“The APC in Oyo State is confident that Chief Tegbe will bring innovation, efficiency, and sustainable solutions to Nigeria’s power sector. His history of performance and commitment to service positions him to make meaningful contributions to national development,” the statement read.
The party emphasized that Nigeria is at a critical stage where strategic direction is essential to unlock sustainable energy solutions, noting that Tegbe’s leadership could help reposition the sector for improved performance.
It added that the APC in Oyo would offer its full support while maintaining constructive engagement with the minister-designate and other stakeholders to ensure progress.
The statement also acknowledged Tegbe’s longstanding contributions to the growth of the party in the state, expressing optimism that his new role would further deepen his commitment to national development.
The APC wished him a successful tenure, expressing hope that his leadership would mark a significant shift toward stable and reliable electricity supply across the country.
APC Backs Tegbe for Power Reforms, Cites Proven Expertise, Strategic Leadership
News
Nigeria Convenes African Leaders on Climate-Conflict Nexus, Pushes Peace-Centred Adaptation Strategy
Nigeria Convenes African Leaders on Climate-Conflict Nexus, Pushes Peace-Centred Adaptation Strategy
By: Michael Mike
Nigeria has brought together policymakers, climate experts, and peacebuilding practitioners from across Africa in a high-level regional forum aimed at tackling the growing link between climate change and insecurity on the continent.
Declaring the forum open in Abuja, Permanent Secretary of the Federal Ministry of Environment, Salihu Aminu Usman, warned that the accelerating pace of climate change is already triggering severe global consequences, stressing the need for urgent and coordinated action.
“Climate change impacts are on the rise daily, with unprecedented and extreme weather conditions being experienced all around the world. Urgent solutions are required before it gets out of hand,” he said.
Usman noted that Nigeria remains committed to global climate obligations under frameworks such as the United Nations Framework Convention on Climate Change, the Kyoto Protocol, and the Paris Agreement. He added that the country has pledged to cut greenhouse gas emissions by up to 47 percent with international support.
He revealed that Nigeria’s National Adaptation Plan (NAP), currently nearing completion, incorporates conflict-sensitive approaches, linking climate adaptation directly to peacebuilding efforts. According to him, environmental pressures are increasingly tied to security challenges such as farmer-herder clashes, banditry, and cattle rustling.
“It would be a mistake to ignore adaptation needs in these peacebuilding contexts,” Usman said, underscoring the importance of aligning climate policies with national security strategies.
In her remarks, Director of the Department of Climate Change, Iniobong Abiola-Awe, highlighted the widespread impact of climate variability on infrastructure, biodiversity, and livelihoods, warning that these disruptions are deepening existing vulnerabilities and contributing to instability.
She said Nigeria’s adaptation planning process has been inclusive and participatory, designed to address medium- and long-term climate risks while strengthening resilience across sectors.
Also speaking, Alec Crawford of the International Institute for Sustainable Development stressed that climate change is no longer a future threat but a present reality, particularly in fragile and conflict-affected regions.
“The intersection between climate risks, war, and conflict is no longer abstract,” Crawford said, adding that adaptation strategies must not only respond to environmental challenges but also actively support peacebuilding efforts.
He commended Nigeria for hosting the forum and acknowledged financial support from the Government of Ireland.
The forum has drawn participation from several African countries, including Burkina Faso, Cameroon, Central African Republic, Chad, Liberia, Mali, Somalia, and South Sudan.
Organisers say discussions will centre on integrating peacebuilding into climate adaptation planning, sharing country experiences, and strengthening collaboration among environment, security, and development stakeholders.
The forum runs through May 7, featuring technical sessions, policy dialogues, and peer learning aimed at shaping a more coordinated African response to the climate-security challenge.
Nigeria Convenes African Leaders on Climate-Conflict Nexus, Pushes Peace-Centred Adaptation Strategy
News
Nigeria, Ghana Close Ranks Against Drug Cartels, Sign Landmark Anti-Trafficking Pact
Nigeria, Ghana Close Ranks Against Drug Cartels, Sign Landmark Anti-Trafficking Pact
By: Michael Mike
Nigeria and Ghana have reinforced their joint fight against drug trafficking networks in West Africa, sending a strong warning to criminal cartels with a new wave of coordinated enforcement and intelligence-sharing efforts.
Chairman of the National Drug Law Enforcement Agency, Brig. Gen. Buba Marwa (Rtd) declared that both countries are now more aligned than ever in tackling transnational drug crimes. He spoke on Tuesday in Abuja while hosting a delegation from Ghana’s Narcotics Control Commission led by its Director-General, Brig. Gen. Maxwell Obuba Mantey.

Marwa described the visit as a strategic step beyond diplomacy, emphasizing that the growing sophistication of drug trafficking and its links to money laundering demand deeper regional collaboration.
“Let this serve as a warning to those who seek to destabilize our societies with illicit drugs: Nigeria and Ghana stand united,” he said, noting that joint efforts in intelligence-led operations and interdiction strategies would significantly shrink the operational space for criminal networks.
A major highlight of the engagement was the signing of a Memorandum of Understanding (MoU) between the two agencies. The agreement establishes a formal framework for cooperation in combating the production and trafficking of psychotropic substances, precursor chemicals, and associated financial crimes.

Marwa said the MoU transforms an already strong relationship into a “structured, aggressive, and unified front” against drug barons, adding that both countries would intensify joint training, digital forensics collaboration, and coordinated operations across the West African corridor.
On his part, Mantey acknowledged Nigeria’s leadership role in regional security, describing the relationship between both countries as one rooted in shared history and mutual respect. He stressed that the visit was aimed at strengthening existing ties rather than starting new ones.
He warned that drug trafficking across West Africa is becoming more complex, with traffickers adopting advanced methods, expanding maritime routes, and increasing the production and distribution of synthetic drugs. He also noted a shift in Ghana’s role from primarily a transit hub to a country facing rising domestic drug use and distribution challenges.
“No single country can effectively address this threat in isolation,” Mantey said, underscoring the need for practical cooperation in operations, intelligence sharing, and institutional capacity building.
He added that the success of the new partnership would depend on concrete implementation, including coordinated enforcement actions and sustained collaboration between both agencies.
The meeting, held at the NDLEA headquarters in Abuja, was attended by senior officials from both countries, including representatives of the Ghanaian High Commission.
The renewed alliance signals a broader regional push to confront organized drug networks, amid growing concerns over their impact on security, governance, and public health across West Africa.
Nigeria, Ghana Close Ranks Against Drug Cartels, Sign Landmark Anti-Trafficking Pact
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