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Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

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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

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Nigeria Moves to Reinforce Global Diplomatic Presence with Deployment of 25 Ambassadors

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Nigeria Moves to Reinforce Global Diplomatic Presence with Deployment of 25 Ambassadors

By: Michael Mike

Nigeria is poised to deepen its diplomatic footprint worldwide as the Federal Government concludes arrangements to deploy a new batch of 25 ambassadors to strategic missions abroad, marking a significant step in the country’s renewed foreign policy drive.

The spokesperson of the Ministry of Foreign Affairs, Kimiebi Ebienfa, disclosed this on Friday in Abuja while briefing journalists on key developments within the ministry and Nigeria’s ongoing diplomatic engagements.

He revealed that the process has advanced considerably, with the government already securing over 25 formal acceptances—known in diplomatic circles as agrément—from host countries. The approvals signal that the receiving nations have completed due diligence and formally consented to the appointment of Nigeria’s nominees.

Describing the development as a critical milestone, Ebienfa announced that a high-level induction programme for the envoys has been scheduled to hold from April 26 to 29, 2026. He said the exercise would serve as a strategic orientation platform, preparing the ambassadors for the complex demands of representing Nigeria’s interests abroad.

“We have received more than 25 agreements from countries where ambassador-designates have been sent. With the induction programme scheduled for later this month, deployment will commence immediately after the exercise,” he stated.

According to him, the induction will go beyond ceremonial briefings, focusing on the practical realities of modern diplomacy, including bilateral engagement strategies, conduct and protocol in host countries, economic diplomacy, and alignment with Nigeria’s foreign policy priorities under President Bola Ahmed Tinubu.

He added that, in line with diplomatic tradition, spouses of the envoys would also participate in aspects of the programme, reflecting their supportive role in representing the country’s image and values overseas.

While most of the ambassador-designates are expected to proceed to their duty posts immediately after the induction, Ebienfa noted that a few postings may still be subject to final administrative clearances.

He noted that even if any of the ambassador-designates is rejected by the country to which he or she is posted, there is still room for reassignment to another country.

The imminent deployment is seen as a decisive move by the Federal Government to revitalise Nigeria’s diplomatic architecture, strengthen bilateral and multilateral ties, and position the country more assertively on the global stage amid shifting geopolitical and economic realities.

Nigeria Moves to Reinforce Global Diplomatic Presence with Deployment of 25 Ambassadors

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FG Cracks Down on Fake Ambassadors, Criminalises Unauthorised Use of Diplomatic Titles

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FG Cracks Down on Fake Ambassadors, Criminalises Unauthorised Use of Diplomatic Titles

By: Michael Mike

The Federal Government has moved decisively to protect the sanctity of Nigeria’s diplomatic system, declaring the unauthorised use of ambassadorial titles a criminal offence punishable under the law.

Raising alarm over what it described as a disturbing rise in impersonation and fraudulent conferment of diplomatic ranks, the spokesperson of the Ministry of Foreign Affairs, Kimiebi Ebienfa, said the development has exposed the country to reputational risks and international embarrassment.

Speaking in Abuja on Friday, Ebienfa warned that only the President, Bola Ahmed Tinubu, possesses the constitutional authority to appoint and accredit ambassadors, stressing that any individual or group claiming otherwise is acting illegally.

He described as “worrisome” the activities of unscrupulous persons and organisations that confer ambassadorial titles on themselves or unsuspecting members of the public, often for financial gain or social influence.

According to him, such practices have no basis in Nigerian law or international diplomatic conventions and amount to outright impersonation.

“The Ministry has observed with grave concern the increasing trend of individuals usurping diplomatic titles and fraudulently presenting themselves as ambassadors. These actions are illegal and undermine the credibility of Nigeria’s foreign representation,” he said.

Ebienfa listed common violations to include the unauthorised use of titles such as “Ambassador” and “Diplomatic Envoy,” the issuance of fake diplomatic passports and identity cards, as well as the circulation of counterfeit vehicle plate numbers bearing official insignia.

He cautioned Nigerians against accepting such titles from unofficial bodies, warning that those who parade themselves as ambassadors based on such conferment are committing a criminal offence and risk prosecution.

In a key clarification, the ministry noted that while individuals may be appointed as brand ambassadors for commercial or promotional purposes, such recognition does not confer any legal or diplomatic status.

“Brand ambassadors remain what they are—representatives of products or services. They are not entitled to adopt or prefix the title ‘Ambassador’ to their names in a diplomatic sense,” he emphasised.

To enforce compliance, Ebienfa disclosed that the ministry is working closely with relevant security and regulatory agencies, including the Nigerian Immigration Service and the Federal Road Safety Corps, to identify, arrest, and prosecute offenders. The crackdown will also target the production and use of fake diplomatic documents and unauthorised number plates.

He reaffirmed the government’s commitment to preserving the integrity of Nigeria’s diplomatic service, warning that any act capable of misrepresenting the country on the global stage will not be tolerated.

“The Federal Government will continue to take firm actions against individuals or groups whose activities bring Nigeria into disrepute. The integrity of our diplomatic system is non-negotiable,” he said.

FG Cracks Down on Fake Ambassadors, Criminalises Unauthorised Use of Diplomatic Titles

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Nigeria Accelerates Peace Reform Drive as Stakeholders Push for Adoption of National Peace Policy

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Nigeria Accelerates Peace Reform Drive as Stakeholders Push for Adoption of National Peace Policy

By: Michael Mike

Nigeria has intensified efforts to establish a unified national framework for peacebuilding as top security and governance stakeholders convened in Abuja for the Second High-Level Expert Dialogue on the Draft National Peace Policy (NPP), aimed at overhauling the country’s fragmented conflict management system.

The dialogue, convened by the Institute for Peace and Conflict Resolution (IPCR) in partnership with the Office of Strategic Preparedness and Resilience (OSPRE) and Triple Peace Africa, brought together policymakers, security experts, academics, civil society leaders, and development partners to refine and advance the proposed national framework.

Opening discussions, the Director-General of IPCR, Dr. Joseph Ochogwu, said Nigeria’s worsening and interconnected security challenges make the adoption of a coherent peace policy both urgent and unavoidable.

He pointed to the persistence of insurgency in the Northeast, farmer-herder conflicts in the Northcentral, separatist tensions in the Southeast, and widespread banditry and kidnapping in the Northwest, warning that the cumulative impact of these crises continues to strain national cohesion.

According to him, the spread of small arms, coupled with weakening trust between communities and institutions, has further deepened insecurity and undermined local resilience mechanisms.

Ochogwu stressed that Nigeria can no longer depend on scattered and uncoordinated interventions, insisting that only a unified, evidence-driven framework can deliver sustainable peace outcomes.

“What we require now is a nationally owned system that coordinates all peacebuilding actors, eliminates duplication, and ensures that interventions are measurable, accountable, and impactful at community level,” he said.

He explained that the Draft National Peace Policy is the outcome of extensive nationwide consultations spanning all six geopolitical zones, incorporating input from traditional rulers, civil society organisations, academic experts, government institutions, and community stakeholders.

Describing the document as a strategic shift in approach, he said the policy is designed to reposition peacebuilding from reactive crisis response to a preventive and development-oriented system anchored on data, early warning, and institutional coordination.

A major gap the policy seeks to address, he noted, is the absence of a central coordinating structure for peace initiatives across the country, a situation he said has resulted in duplication of efforts, institutional competition, and inefficient use of resources.

The proposed framework, he added, will integrate peacebuilding into core sectors including security, justice, education, health, agriculture, and governance, ensuring a whole-of-government approach to conflict prevention and stability.

Ochogwu further highlighted that the policy aligns with global and regional frameworks such as the United Nations Sustaining Peace Agenda, the Sustainable Development Goals—particularly SDG 16 on peace, justice and strong institutions—the African Union’s Agenda 2063, and the ECOWAS Conflict Prevention Framework.

He said this alignment reinforces Nigeria’s commitment to international best practices while positioning the country as a potential leader in structured peacebuilding across Africa.

Participants at the dialogue emphasised that the success of the policy will depend on strong political will, clear institutional roles, sustainable financing mechanisms, and effective coordination across all levels of government.

They warned that without decisive implementation structures, the policy risks becoming another well-crafted but inactive document.

Ochogwu urged stakeholders to take collective responsibility for the process, describing them as critical actors in shaping Nigeria’s peace architecture and cautioning against institutional silos that weaken national response systems.

He reaffirmed IPCR’s readiness to work with federal and state governments, peacebuilding agencies, civil society organisations, the private sector, and international partners to ensure the policy is finalised, adopted, and implemented without delay.

He maintained that Nigeria’s stability depends on deliberate and coordinated action, stressing that the time for policy adoption and implementation is now.

Analysts say the push for a National Peace Policy could mark a turning point in Nigeria’s conflict management strategy, shifting the country from reactive security responses to a more structured, preventive, and sustainable peace framework.

Nigeria Accelerates Peace Reform Drive as Stakeholders Push for Adoption of National Peace Policy

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