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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.”
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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
PRESIDENT TINUBU MOURNS VICTIMS OF TERRORIST ATTACK IN NGOSHE, GWOZA LGA IN BORNO STATE
By: Our Reporter
President Bola Tinubu has expressed heartfelt condolences to the families of those affected by the recent terrorist attack by Boko Haram on the Ngoshe community in Gwoza Local Government Area of Borno State.
The President mourns the loss of innocent lives, including military personnel, and those caught in friendly fire during the aerial interdiction of fleeing terrorists by the Air Force.
He describes the attack by the terrorists as a heartless assault on hapless citizens, urging Nigerians in Borno and elsewhere not to succumb to fear.
President Tinubu commends the military for their swift response, which led to the killing of scores of terrorists and their subsequent forced retreat.
He charges the military and other security agencies to work urgently to rescue those kidnapped by the terrorists.
Additionally, he directs the armed forces to intensify their efforts to protect civilians nationwide and prevent attacks on military installations in the North East.
President Tinubu prays for the souls of those who lost their lives in the attacks and friendly fire and extends his sympathies to their families and the Borno State Government.
PRESIDENT TINUBU MOURNS VICTIMS OF TERRORIST ATTACK IN NGOSHE, GWOZA LGA IN BORNO STATE
Borno State Command Celebrates 2026 World International Civil Defence Day in Grand Style
By: Bodunrin Kayode
The Borno State Command of the Nigeria Security and Civil Defence Corps (NSCDC) recently marked the 2026 World International Civil Defence Day with a weeklong series of activities, themed “Towards a safer society.”
A statement by the command’s spokesperson CSC Bulus James, stated that the celebration began with briefings and sensitization of staff on NSCDC’s critical roles in Crisis Management, Protection of Critical National Assets and Infrastructure, Peace and Conflict Resolution, Counter-terrorism, and VIP Protection.
On Thursday, 26th February 2026, officers and men, led by Acting Commandant DCC Obe Ndubuisi, embarked on a road match from the State Headquarters through the Kano Motor Park community and concluded at the headquarters, where the Acting Commandant delivered speeches on behalf of Commandant CC Ahmed Bello Gaya, including messages from the Commandant General and the State Commandant.
On the 27th February, 2026, Muslim faithfuls gathered at Al-Ansar Masjid for Jumaat prayers, with ACG CBRNE Hameed Abudurin from NHQ Abuja in attendance as Special Guest of Honour.
He was also present at the Passing Out Parade (POP) of a joint special training program held at the Nigerian Police Force Explosive Ordnance Disposal and Chemical, Biological, Radiological, Nuclear (EOD-CBRN) Training School, Maiduguri, in collaboration with UNMAS which offered him the opportunity to celebrate alongside the Muslim faithfuls.
Prayers were offered by the Chief Imam Borno State, and NSCDC. Worshippers expressed gratitude for NSCDC’s unwavering commitment to safeguarding lives, property, and critical national assets.
This was followed by the grand finale at the NSCDC Glorious Chapel which held a special Sunday service at the Command’s multipurpose hall, attended by guests from sister security agencies on 1st March, 2026
Goodwill messages were delivered, followed by a keynote address from Commandant CC Ahmed Bello Gaya, delivered by Acting Commandant Obe Ndubuisi.
.DCC Paul Ochola delivered an exhortation on “Selfless Service to Humanity: Towards a Safer Environment.” The service concluded with pleasantries and a group photograph.
Borno State Command Celebrates 2026 World International Civil Defence Day in Grand Style
Zulum Pays Sympathy Visit to Victims of Ngoshe Attack, Assures Rescue of Abducted Residents
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has commiserated with the people of Ngoshe affected by the recent Boko Haram attack, describing the incident as tragic.
Ngoshe, a community in Gwoza local government, was attacked on Tuesday evening, scores were killed, while others were abducted.
Addressing members of the community on Friday in Pulka, Governor Zulum said he personally came to sympathize with the affected people and families of those that lost their loved ones.
He assured that efforts are underway to rescue all those abducted, restore security, and provide humanitarian support to victims.
“We are here today to commiserate with the people of Ngoshe that have lost their loved ones following the unfortunate incident that occurred on Tuesday. The situation is very sad and our hearts go out to all those affected by this tragedy,” Zulum said.
“I want to assure you that we will do everything possible to address the unfortunate situation that has befallen this community, and for those who have been abducted, the Nigerian military will do everything within its capacity to rescue them,” Zulum assured.
Governor Zulum explained that military operations are currently ongoing in Ngoshe and the Sambisa Forest to rid the area of criminal elements.
“There are ongoing military operations within the Sambisa Game Reserve. What we witnessed yesterday was largely a result of insurgents being pushed out from their strongholds, which led them to launch coordinated attacks on nearby communities,” he explained.
He called on the Nigerian Army to intensify operations to clear insurgents from the Mandara Hills which he described as a major security threat.
“The Mandara Hills remain a major security concern. The insurgents descended from the hills to attack this town. Therefore, I call on the Nigerian Army and the Federal Government to intensify efforts to clear Mandara Hills of insurgents,” Zulum said.
The governor noted that the exact number of casualties is yet to be confirmed as assessments are still ongoing, but acknowledged that several lives were lost while others were abducted.
As part of immediate humanitarian intervention, the governor said the state government had begun distributing relief materials and establishing cooking points to provide food for displaced residents.
“For now, we will distribute food items to those affected and I have directed that cooking points be established so that everyone in this community can receive meals from a central kitchen,” he said.
The governor appealed to residents to remain calm and law-abiding, noting that Borno State government will double its efforts to end this madness. “We shall not relent in our commitment to restoring lasting peace and stability in the state,” he said.
“I strongly believe that with sustained military operations and cooperation between all levels of government, we will overcome this challenge. Insha Allah, peace will return fully to our land,” the governor added.
Similarly, Governor Babagana Zulum inspected houses burned during an attack by Boko Haram insurgents on Thursday in Konduga town.
Zulum Pays Sympathy Visit to Victims of Ngoshe Attack, Assures Rescue of Abducted Residents
PRESIDENT TINUBU MOURNS VICTIMS OF TERRORIST ATTACK IN NGOSHE, GWOZA LGA IN BORNO STATE
Borno State Command Celebrates 2026 World International Civil Defence Day in Grand Style
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