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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
FG Reaffirms Commitment to Collaboration, Innovation at AFRIDEX 2026
FG Reaffirms Commitment to Collaboration, Innovation at AFRIDEX 2026
By: Michael Mike
Minister of Interior, Olubunmi Tunji-Ojo, has reaffirmed the Federal Government’s strong commitment to inter-agency collaboration, innovation, and national development during a high-level engagement with organisers of the African International Defence Exhibition (AFRIDEX) 2026.
The Minister made this known while receiving Maj. Gen. Umar Alkali and his delegation on a courtesy visit to his office in Abuja.
Describing AFRIDEX as “a very special programme,” Dr. Tunji-Ojo emphasized that meaningful progress within Nigeria’s defence and security architecture can only be achieved through collaboration rather than isolated efforts. He stressed the need for institutions to embrace openness, synergy, and strategic partnerships to maximise national impact and drive sustainable development.
He commended the AFRIDEX initiative as a critical platform for both emerging and established innovators, particularly Nigerian youths who continue to demonstrate exceptional ingenuity in digital and cybersecurity sectors. According to the Minister, providing visibility for such talents is essential for strengthening national pride, advancing economic growth, and enhancing global competitiveness.
Highlighting the central role of research in national development, Tunji-Ojo called for stronger linkages between innovation and market opportunities. He noted that creating platforms where innovators, manufacturers, and investors can interact is key to translating research into tangible economic value.
Encouraging the organisers, the Minister advised that AFRIDEX should be institutionalised as an annual event. While acknowledging that the maiden edition may present challenges, he noted that it would also offer valuable lessons to improve future editions. He further called for deeper collaboration among security and intelligence agencies, stressing that “this is not a time for territorial thinking, but for collective progress.”
Reaffirming the Ministry’s support, he described AFRIDEX as an initiative that represents “the future, not just the present,” adding that sustained efforts would attract international participation and promote the growth of indigenous industries.
On visa facilitation, the Minister acknowledged ongoing improvements but recommended the establishment of a dedicated support desk to ensure seamless entry processes for the expected influx of international participants.
Earlier, Maj. Gen. Alkali expressed appreciation to the Minister for the audience and commended his continued support for capacity building and inter-agency cooperation. He formally introduced AFRIDEX as a premier global defence and security exhibition scheduled to hold from October 26–29, 2026, at Eko Atlantic City.
Organised with the support of the Federal Government of Nigeria and hosted by the Ministry of Defence in collaboration with the Defence Industries Corporation of Nigeria, the event is expected to bring together global leaders, policymakers, industry experts, and innovators. The exhibition will showcase cutting-edge solutions across land, air, maritime, space, and cyber domains, with over 30,000 international participants and 500 exhibitors anticipated.
Alkali also highlighted the critical role of the Ministry of Interior in ensuring the success of the event, particularly in the areas of security coordination and visa facilitation. He formally invited the Honourable Minister to participate and requested the Ministry’s support in promoting AFRIDEX through its platforms, as well as encouraging participation from agencies under its supervision.
The visit concluded with a shared commitment to strategic partnership and a unified vision of positioning Nigeria as a global hub for defence innovation and security solutions.
FG Reaffirms Commitment to Collaboration, Innovation at AFRIDEX 2026
News
Marwa Warns University Students Against Drug Abuse, Says It Destroys Future Prospects
Marwa Warns University Students Against Drug Abuse, Says It Destroys Future Prospects
By: Michael Mike
The Chairman/Chief Executive Officer of the National Drug Law Enforcement Agency (NDLEA), Buba Marwa, has warned Nigerian youths against drug abuse, describing it as a dangerous habit capable of ruining their future and career prospects.
Marwa gave the warning on Tuesday while delivering the convocation lecture at the 29th and 30th combined convocation ceremony of the University of Abuja.
Speaking on the topic, “High Today, Lost Tomorrow: The Real Cost of Drug Abuse on Campus,” the NDLEA boss said substance abuse has moved beyond the streets and is now a growing problem within lecture halls and campuses.

He noted that the drug scene has evolved from the use of traditional substances like cannabis to more dangerous synthetic opioids and designer drugs such as Colorado, Loud and Methamphetamine. He also raised concerns over the increasing use of social media platforms for drug distribution, as well as the involvement of students in trafficking.
“A criminal record for drug offences is a life sentence on your career before it even begins. You cannot practise law, medicine or engineering with a drug-related conviction,” he said.
Marwa explained that drug abuse affects the brain by altering neurotransmitters, leading to poor memory and impaired critical thinking. He added that substance abuse is often linked to cultism and campus violence, warning that arrest and conviction could permanently end professional ambitions.
Citing statistics, he said over 77,000 drug offenders were arrested in the past five years, with more than 60 per cent being young people. He also disclosed that most of the over 48,000 individuals treated in NDLEA facilities within the same period were youths.
The NDLEA chairman further referenced findings from the 2018 National Drug Use and Health Survey, which showed that many Nigerians begin experimenting with drugs around the age of 19, while cases involving younger teenagers are on the rise.
Addressing the graduating students, Marwa urged them to remain focused and avoid peer pressure as they step into the next phase of their lives.
“You are about to enter a world that is AI-powered and fintech-driven. There is no room for a clouded mind in a fast-paced environment. Choose your circle carefully. If your friends require you to be ‘high’ to belong, you are in the wrong company,” he said.
He stressed that character is as important as academic success, urging the graduates not to sacrifice their future for temporary pleasure.
“Nigeria needs your talent, your energy and—most importantly—your sober mind to lead us into the next decade,” he added.
Marwa also called on stakeholders to intensify efforts in tackling drug abuse, noting that its effects extend beyond individuals to families, institutions and society through increased crime and reduced productivity.
He commended the leadership of the University of Abuja for partnering with NDLEA to strengthen campus surveillance and urged tertiary institutions to prioritise drug education during orientation programmes.
Dignitaries at the event included the Pro-Chancellor and Chairman of the Governing Council, Olanrewaju Tejuoso; Vice-Chancellor, Hakeem Babatunde Fawehinmi; Council Member, Adedeji Adefuye; as well as senior officials of the university and NDLEA.
Marwa Warns University Students Against Drug Abuse, Says It Destroys Future Prospects
News
Troops clear bandits’ camps, rescue victims, recover arms in Bauchi
Troops clear bandits’ camps, rescue victims, recover arms in Bauchi
By: Zagazola Makama
Troops under Operation WUTAN DAJI have cleared several bandits’ camps, rescued kidnapped victims and recovered arms during clearance operations in Bauchi State.
Security sources said troops of 33 Artillery Brigade Garrison, in conjunction with elements of the Brigade Headquarters and a team from the Office of the National Security Adviser (ONSA), carried out the operation in Kumbodoro forest and Kumbodoro village.

According to the sources, the operation was led by the Commander, 33 Artillery Brigade, Brig.-Gen. S.S. Shehu, as part of ongoing efforts to rid the area of criminal elements.
They added that several bandits’ camps, including Azuge camps, were cleared during the operation, while a number of the criminals were neutralised.
Items recovered include four skeletal rifles, four dane guns, two pairs of boots, three helmets, a power bank, a Startimes decoder, one FN rifle magazine, one AK-47 magazine, communication links, a jackknife, six mobile phones, arrows, radio chargers, ATM cards, photographs, identity cards, as well as several pairs of security agency uniforms and leg chains.

The sources further disclosed that eight kidnapped victims were rescued during the operation.
They said troops are currently holding position within the Kumbodoro forest to consolidate gains from the clearance mission.
In a related development, the sources said troops deployed at Duguri, in collaboration with local vigilantes, recovered 36 cows at Mushen Kura village following information that the animals were roaming the area.

“The cows are suspected to have fled from bandits’ camps due to the ongoing operations and are currently in custody for further action,” the sources said.
They noted that troops’ morale and combat efficiency remain high, while operations continue to deny bandits freedom of action in the region.
Troops clear bandits’ camps, rescue victims, recover arms in Bauchi
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