News
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
UNESCO, CWAY Group Partner to Empower Corps Members on Reproductive Health, Life Skills
UNESCO, CWAY Group Partner to Empower Corps Members on Reproductive Health, Life Skills
By: Michael Mike
A strategic collaboration between UNESCO and the CWAY Group is equipping National Youth Service Corps (NYSC) members with critical knowledge on sexual and reproductive health, life planning, and community development.
The initiative, unveiled during an orientation programme, is part of a broader social responsibility effort aimed at reducing risky behaviours among young people while preparing them to become productive contributors to Nigeria’s development.
Speaking at the event, the National Project Officer and Head of Education Sector a.i with UNESCO, Mr. Adeyemi Oladeji explained that the intervention focuses on providing early and accurate information to corps members, particularly during their three-week orientation camp, a period often associated with exposure to risky sexual behaviour.
“This is a preventive approach,” he said. “If young people are properly informed early, they are more likely to make responsible decisions that will not derail their life goals.”
The programme addresses key issues such as teenage pregnancy, gender-based violence, HIV prevention, and life skills development. It is also designed to help young people align their personal ambitions with national development goals, ultimately contributing to Nigeria’s demographic dividend.
A key component of the initiative is the training of selected corps members under the Sustainable Development Goals (SDGs) and HIV Community Development Service (CDS) groups as master trainers. These trained volunteers will extend the campaign beyond schools by engaging out-of-school youths, particularly those in informal sectors such as mechanics, barbers, and hairdressers.
According to Oladeji, out-of-school youths remain among the most vulnerable due to limited access to accurate information and social support systems.
“Most interventions target young people in formal education, but those outside the school system are often neglected despite being highly vulnerable,” he noted.
The trained corps members will conduct community outreach programmes, peer education sessions, and sensitisation campaigns, especially in underserved areas where access to government services is limited. The initiative also emphasizes peer-to-peer education, recognizing that young people are more likely to confide in and learn from their peers.
In addition, the programme integrates voluntary HIV testing services in partnership with health organisations, encouraging corps members to know their status and adopt healthier lifestyles.
“If you know your status, you can take control of your health—whether it means staying negative or managing a positive status effectively,” Oladeji added.
Beyond the camps, the intervention extends to schools and communities. Teachers are being trained to deliver Family Life and HIV Education, while community and religious leaders are being engaged to support the reintegration of out-of-school children, particularly girls affected by early pregnancy or economic hardship.
The initiative is currently being implemented in several states, including Lagos, Ogun, Enugu, and the Federal Capital Territory, in collaboration with the National Youth Service Corps, the Federal Ministry of Youth, and the Federal Ministry of Education.
Early feedback indicates strong interest among corps members, many of whom have volunteered to participate as peer educators and community influencers.
Organisers described the response as “encouraging,” noting that participants are eager to make meaningful impact during their service year and beyond.
“This is just the beginning,” Oladeji said. “We are building a generation of informed, responsible young people who can influence others and drive positive change in their communities.”
UNESCO, CWAY Group Partner to Empower Corps Members on Reproductive Health, Life Skills
News
Athena Centre Launches 2026 Junior Fellowship to Groom Next Generation of Policy Leaders
Athena Centre Launches 2026 Junior Fellowship to Groom Next Generation of Policy Leaders
By: Michael Mike
The Athena Centre for Policy and Leadership has officially announced the commencement of its 2026 Athena-Anchoria Junior Fellowship Programme, marking a significant step in efforts to nurture young leaders in governance and public policy across Nigeria.
The programme, which began on April 25, 2026 in Abuja, is being delivered in partnership with Anchoria Advisory Services Limited.

Speaking on the initiative, the firm’s Managing Director and CEO, Sam Chidoka, emphasized the long-term vision behind the fellowship, noting that investing in capable young minds is essential to shaping Nigeria’s policy future.
A statement on Monday by the Centre, read that following a rigorous nationwide selection process, 14 exceptional young Nigerians were admitted into the 2026 cohort. The fellows were chosen based on academic excellence, leadership potential, and a demonstrated commitment to governance and public policy.
The cohort reflects a broad national spread, drawing participants from all six geopolitical zones. Representatives from the Southeast include Kosisochukwu Praise Bosah, Adaobi Patience Ayogu, and Daniel Kelechi Nnamani. From the Southwest are Ezekiel Adeshina Adebisi and Eunice Iyanuoluwa Olasunkanmi, while the South-South is represented by Angelica Onagiekhuwemhe Enegbuma and Shedrack James Owen.

The Northwest contingent comprises Yahaya Abubakar, Hassan Suleiman Haruna, and Rashida Bafashi Abubakar. From the Northeast are Gabriel Mohammed Shuwa and Mohammed Baba Kale, while the North-Central zone is represented by Augustina Enuwa Abakpa and Muhammad Saheed Afodun.
According to the statement, participants come from diverse academic backgrounds, including political science, law, mass communication, medicine, and other science-based disciplines. The group consists of undergraduates, postgraduate students, and early-career professionals drawn from top Nigerian universities.
The six-month fellowship is designed as a leadership and policy development programme aimed at building a pipeline of reform-oriented leaders. It will begin with virtual learning sessions, followed by sustained engagement and mentorship, and conclude with an intensive in-person session.
Through structured training, mentorship, and hands-on policy engagement, fellows will gain practical insights into governance challenges and institutional reform strategies.

The launch of the 2026 cohort reinforces the Athena Centre’s commitment to strengthening policy capacity and developing a new generation of leaders equipped to drive meaningful change in Nigeria.
Athena Centre Launches 2026 Junior Fellowship to Groom Next Generation of Policy Leaders
News
Nigeria No Longer Safe Haven for Drug Cartels, Says UNODC
Nigeria No Longer Safe Haven for Drug Cartels, Says UNODC
By: Michael Mike
The United Nations Office on Drugs and Crime (UNODC) has declared that Nigeria is no longer a permissive environment for international drug cartels, citing a surge in arrests, seizures, and convictions driven by reforms within the National Drug Law Enforcement Agency (NDLEA).
The UNODC Country Representative, Cheikh Toure, made the statement in Abuja on Monday during the handover of newly constructed audiovisual interview rooms to the NDLEA.

The facilities, equipped with modern interrogation technology, were provided by UNODC with funding support from the United States International Narcotics and Law Enforcement Affairs (US-INL).
Toure described transnational drug trafficking as one of the most destabilizing global threats, linking it to corruption, violence, and the exploitation of vulnerable populations. He noted that Nigeria’s geographic position has historically made it both a target and transit hub for drug networks spanning Latin America, Asia, and Africa.

However, he said recent enforcement efforts have significantly altered that narrative.
“Under the leadership of Mohamed Buba Marwa, the NDLEA has demonstrated remarkable courage and professionalism,” Toure said, adding that the agency’s intensified operations since 2021 have sent a strong deterrent message to organized criminal groups.
He further emphasized that international collaboration remains critical, commending the United States government for its financial support. According to him, the newly donated facilities represent more than infrastructure, describing them as an investment in transparency, accountability, and the rule of law.
The UNODC chief also called for the replication of such modern interrogation systems across NDLEA commands nationwide to strengthen investigative capacity.
In his response, NDLEA Chairman, Buba Marwa, expressed appreciation to both UNODC and US-INL for their continued partnership, assuring that the agency is prepared to build on recent gains.

“We are not just commissioning rooms; we are strengthening the integrity of our investigative process,” he said.
Marwa highlighted that the agency is undergoing a major digital transformation, and the integration of advanced interrogation technology would enhance operational efficiency and align Nigeria’s law enforcement standards with global best practices.
He described the facilities as a symbol of international trust and a boost to the agency’s capacity to deliver justice effectively, while reaffirming NDLEA’s commitment to professionalism, transparency, and respect for human rights.
The event was attended by senior officials from UNODC, NDLEA, and the US-INL, including Deputy Director Douglas Grane.
The latest development underscores growing international confidence in Nigeria’s anti-narcotics efforts and signals a shift in the country’s role in the global fight against drug trafficking.
Nigeria No Longer Safe Haven for Drug Cartels, Says UNODC
-
News2 years agoRoger Federer’s Shock as DNA Results Reveal Myla and Charlene Are Not His Biological Children
-
Opinions4 years agoTHE PLIGHT OF FARIDA
-
News1 year agoFAILED COUP IN BURKINA FASO: HOW TRAORÉ NARROWLY ESCAPED ASSASSINATION PLOT AMID FOREIGN INTERFERENCE CLAIMS
-
News2 years agoEYN: Rev. Billi, Distortion of History, and The Living Tamarind Tree
-
Opinions4 years agoPOLICE CHARGE ROOMS, A MINTING PRESS
-
ACADEMICS2 years agoA History of Biu” (2015) and The Lingering Bura-Pabir Question (1)
-
Columns2 years agoArmy University Biu: There is certain interest, but certainly not from Borno.
-
Opinions2 years agoTinubu,Shettima: The epidemic of economic, insecurity in Nigeria
