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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
Abduction of Fulani woman, Aisha Goma heightens fear of attacks in Kaduna community
Abduction of Fulani woman, Aisha Goma heightens fear of attacks in Kaduna community
By: Zagazola Makama
The abduction of a married Fulani woman, Aisha Goma, in Chikun Local Government Area of Kaduna State has sparked fresh fear and anxiety among residents of the area.
Sources told Zagazola Makama that the victim was abducted from her home at about 11:00 p.m. on Friday, Jan. 17, while her husband was away.
According to the sources, the attackers, suspected to be armed bandits, besieged the residence and forcefully took the woman to an unknown location.
The sources said that the assailants are believed to be former members of the Kamilu group, who have been operating around the axis in the past,” a source said.
The sources added that as of the time of filing this report, no contact had been made by the abductors and no ransom demand had been communicated to the family.
Zagazola reports that the incident has heightened tension in the area, with many residents expressing fear over a surge in abductions targeting members of the Fulani community in recent weeks.
“For more than a week now, people have been living in fear. Families are moving out in large numbers, especially those living around the Olam Company axis,” another community source said.
According to him, some residents have relocated to safer parts of Soba Local Government Area, while others have fled to villages in neighbouring Kwara State to escape the growing insecurity.
Abduction of Fulani woman, Aisha Goma heightens fear of attacks in Kaduna community
News
Gunmen retaliate after rustling of 102 cows, kill one, injure two in Barkin Ladi in Plateau
Gunmen retaliate after rustling of 102 cows, kill one, injure two in Barkin Ladi in Plateau
By: Zagazola Makama
One person was killed and two others injured when gunmen attacked Kasuwa Denkeli village in Barkin Ladi Local Government Area (LGA) of Plateau State in the early hours of Saturday, in a retaliatory strike linked to the recent rustling of 102 cows in neighbouring Riyom LGA.
The attack, which occurred at about 2:30 a.m., came days after armed men drove away 102 cows from Dan Sokoto, Ganawuri District of Riyom LGA, heightening tensions across the Barkin Ladi–Riyom–Jos South axis.
Residents of Kasuwa Denkeli told Zagazola Makama that the assailants stormed the community and opened fire on houses, leaving one person dead on the spot and two others with gunshot injuries. The injured were evacuated to the Jos University Teaching Hospital for medical attention, while the body of the deceased was deposited at the General Hospital morgue in Barkin Ladi for autopsy.
Police sources who confirmed the incident said “On receipt of a distress call, a team led by the Divisional Police Officer (DPO) Barkin Medical immediately moved to the scene.
He added that the two injured victims were rushed to the Jos University Teaching Hospital for medical attention, while the corpse of the deceased was deposited at the General Hospital morgue in Barkin Ladi for autopsy.
According to the police , investigation into the incident has commenced, and efforts are ongoing to track down and arrest the perpetrators, while they urged residents to remain calm and continue to cooperate with security agencies by providing timely and useful information that could lead to the arrest of those responsible.
Zagazola report that Saturday’s incident is the latest in a chain of incidents that began on Wednesday, Jan. 14, when no fewer than 102 cows were rustled at about 11:00 a.m. in Dan Sokoto, Ganawuri District of Riyom LGA. Local sources said the attackers, identified by witnesses as Berom militia from the Vom District in Jos South LGA, stormed the area and drove away the cattle at gunpoint.
The cattle reportedly belong to Alhaji Nalado of Gargari, around Tashan Nashanan, and Malam Ango of Sabon Kaura, around Kudadu, both in Jos East LGA, although the animals were taken from Ganawuri in Riyom LGA.
Witnesses said the attackers were heavily armed, forcing herders to flee for their lives. As of the time of this report, none of the cattle had been recovered, despite security alerts. Residents also alleged that areas such as Vwang in Jos South and parts of Fan District in Barkin Ladi LGA are increasingly seen as “no-go” zones where rustled cattle are kept, complicating recovery efforts.
The Ganawuri rustling was not an isolated incident. It followed a series of attacks on livestock across Plateau State this month. At least seven cows were poisoned in Kwi village in Riyom LGA, while three others were shot dead around Kuru Gadabiyu in Barkin Ladi LGA near the Bicichi axis. Each incidents had deepens mistrust and raises the risk of reprisals in flashpoints already on edge.
The pattern of escalation has been consistent. On Jan. 6, coordinated attacks on Jol community in Riyom LGA and Gero in Gyel District of Jos South LGA left three people dead. The violence followed the shooting of two Fulani youths earlier that day in Jos South, one of whom later died. Witnesses described the ambush as unprovoked, triggering swift retaliation and counter-retaliation.
December 2025 also saw a surge in incidents. On Dec. 12, more than 130 cattle were reportedly rustled in Nding community. Around the same period, livestock poisoning was recorded in parts of Jos East and Riyom LGAs. These were followed by deadly clashes, including the killing of four children in Dorong village, Barkin Ladi LGA, and attacks on Gero village that resulted in deaths, injuries and loss of livestock.
On Dec. 16, 2025, an attack on an illegal mining site in Tosho community, Barkin Ladi LGA, left 12 miners dead and others abducted, with security sources linking the violence to earlier rustling of 171 castles belonging to the Fulani. In Plateau State, attacks on livestock often act as a spark that ignites wider communal violence.
For pastoral families, cattle are not just animals; they are livelihoods, savings and identity. When herds are stolen, poisoned or shot, families are pushed into desperation. Emotions escalate quickly, and reprisals follow.
Zagazola has repeatedly warned that unless attacks in across Barkin Ladi, Riyom and Jos South LGAs, on both lives and livelihoods are addressed impartially, the state risks remaining trapped in a cycle where each attacks becomes justification for the next
Gunmen retaliate after rustling of 102 cows, kill one, injure two in Barkin Ladi in Plateau
News
Nigeria Condoles Southern African Nations Hit by Deadly Floods
Nigeria Condoles Southern African Nations Hit by Deadly Floods
By: Michael Mike
The Federal Government has expressed deep sympathy with South Africa, Mozambique, and Zimbabwe following devastating floods that have killed over one hundred people and displaced thousands across parts of Southern Africa.
In a statement issued in Abuja on Sunday by the Spokesperson of the Ministry of Foreign Affairs, Kimiebi Ebienfa, the Nigerian government described the disaster as heartbreaking and extended condolences to the affected governments and their citizens.
The statement noted that weeks of heavy rainfall had caused rivers to overflow, destroyed critical infrastructure such as roads and bridges, and disrupted farming activities and essential services.
It also highlighted concerns about secondary humanitarian crises, including hunger, possible disease outbreaks, and increased risks to vulnerable groups such as women, children, and the elderly.
Nigeria commended the efforts of national authorities, regional bodies, and international organisations currently engaged in rescue operations, relief distribution, and evacuation of affected communities. The government praised the resilience of the affected countries as they work toward recovery and rebuilding.
The Federal Government also warned that extreme weather events linked to climate change are becoming more frequent across Africa. It called for stronger regional collaboration, improved early-warning systems, and better climate adaptation measures to reduce future disaster risks.
Nigeria reaffirmed its readiness to cooperate with the affected nations through bilateral, regional, and multilateral channels to support disaster management, humanitarian assistance, and climate resilience initiatives.
It assured the governments and people of South Africa, Mozambique, Zimbabwe, and other impacted countries that Nigeria stands in solidarity with them during this difficult period.
Nigeria Condoles Southern African Nations Hit by Deadly Floods
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