Connect with us

News

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

Published

on

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

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

How killing of 12 Illegal miners in Barkin Ladi, linked to rustling of 171 livestock plateau

Published

on

How killing of 12 Illegal miners in Barkin Ladi, linked to rustling of 171 livestock plateau

By: Zagazola Makama

The recent attack on an illegal mining site in Fann District, Barkin Ladi Local Government Area of Plateau State, has again exposed the sustained fragility of security and the precarious balance between herders and local communities in the state.

On the night of 16 December 2025, gunmen, reportedly dressed in military attire, stormed a mining site at Tosho Community, rounded up illegal miners, and demanded information about the location of cattle stolen from Nding Community on 10 December. The attack left 12 miners dead, three abducted, and several others injured.

Zagazola Makama report that the attack was retaliatory, linked to the rustling of 171 cattle across Nding and Bakin Kogi communities earlier in the month. The victims, miners who were present at the site despite an extant ban on night mining, were particularly vulnerable due to the clandestine nature of the operations and the delayed reporting of the attack to security forces. Troops of Sector 2 Operation Enduring Peace responded early the following morning, conducting offensive operations to rescue the abducted and secure the area.

However, the Fann District attack represents only the latest episode in a rapidly escalating cycle of reprisal violence across Plateau State. Within days, coordinated assaults on pastoral communities in Barkin Ladi and Jos East LGAs resulted in the rustling of 168 cattle, while nine additional cows reportedly died after grazing on poisoned substances in Kwi village, Riyom LGA. These attacks, illustrated the deepening insecurity that continues to place herders, farmers and other vulnerable communities alike at risk.

In a further escalation, four children were killed in Dorong village, Foron District of Barkin Ladi LGA, allegedly in reprisal for the earlier cattle rustling. Victims included Precious Joshuah, 17; Isa’ac Joshuah, 9; Mary Joshuah, 7; and Eve Sambo, 3. Community sources indicated that the attack occurred amid a climate of fear, with residents warning that reprisals were imminent if no preventive action was taken.

Another disturbing incident in Gero village, Jos South LGA, saw the killing and injury of at least 10 cattle, reportedly by Berom militias targeting Fulani herders. Twelve others were left fatally wounded. Local sources indicated that repeated complaints to authorities regarding such attacks had yielded little response, fostering a perception of selective intervention that largely reacts to incidents affecting one side of the conflict.

Zagazola Makama, have long warned in a series of articles of this predictable pattern: attacks on herders, particularly cattle rustling and livestock poisoning, often trigger retaliatory strikes against innocent civilians, which triggers continued attacks. Despite repeated alerts, the Plateau State government and other concerned authorities have been accused of inaction or selective enforcement, which some residents allege has emboldened criminal actors and state-supported militias.

This growing environment of impunity has left communities vulnerable and created conditions where reprisal attacks are almost inevitable. While the recent attacks are universally condemned, a critical review shows that violence in Plateau often escalates when perpetrators operate with little fear of prosecution or accountability. The complicity of certain local militias and the failure of government to intervene decisively have deepened the cycle, placing innocent civilians including women and children at the highest risk.ll

Zagazola emphasized that unless the Plateau State Government and security agencies implement robust measures to arrest perpetrators on all sides, prosecute offenders, and engage in non-kinetic conflict resolution, the state is likely to witness further retaliatory violence. Immediate steps are required to address both the underlying causes of insecurity and the selective handling of incidents, which currently fuels perceptions of bias and aggravates existing ethno-religious and pastoral-farming tensions.

Without decisive action, Plateau State will continue to experience a self-perpetuating cycle of violence, where acts of aggression against one community invariably provoke retaliatory strikes on another, leaving the most vulnerable particularly children bearing the heaviest burden.

How killing of 12 Illegal miners in Barkin Ladi, linked to rustling of 171 livestock plateau

Continue Reading

News

Relief as Navy supports Gombe community with school, water projects

Published

on

Relief as Navy supports Gombe community with school, water projects

By Hajara Leman

The Nigerian Navy on Friday inaugurated a 600-litre capacity borehole and a school at Dungaje community in Cham District of Balanga Local Government Area of Gombe State.

The projects were executed under the Chief of Naval Staff, Vice Admiral Idi Abbas’ Special Intervention Quick Impact Project.

The gesture was in recognition of Rear Admiral Ayuba Chuguli (rtd), outstanding service to the nation and the Nigerian Navy.

Inaugurating the projects, Abbas said the project was conceived by the Naval Headquarters as a mark of appreciation for Chuguli’s.

Abbas was represented by the project facilitator, Rear Admiral Ayuba Chuguli (rtd).

He said the projects inaugurated include three solar-powered boreholes with a combined capacity of 600 litres, three blocks of classrooms comprising nine classrooms, and staff quarters for primary and junior secondary schools, among other interventions.

“The inauguration of this 600-litre boreholes is not only to honour Rear Admiral Chuguli’s meritorious service, but also to support the health and daily needs of Dungaje, Kwarge and Jublan communities, all in Mona Ward of Cham District, Balanga LGA.

“Access to clean water is essential to public health, and this project reflects our commitment to community development,” he said.

The state deputy governor, Dr Manassah Jatau, urged members of the community to take full ownership of facilities executed by government and individuals to ensure sustainability and long-term benefits.

“Government alone cannot guarantee the longevity of such projects without the active involvement of beneficiaries.W hen communities see projects as their own, they are more likely to safeguard them against vandalism, misuse and neglect,” he said.

Jatau urged residents, particularly youths and community leaders, to work together to ensure effective protection and utilisation of the facilities.

He also commended individuals and development partners who contributed to community development, noting that such efforts complement government initiatives and accelerate grassroots development.

The Paramount Ruler of Cham, Dr James Chachis, lauded the Nigerian Navy for bringing the water project to the area, describing it as timely and impactful.

He said the borehole would significantly reduce water-related challenges being faced by residents, especially women and children.

The traditional ruler called on other public-spirited individuals in the community to emulate the project facilitator by contributing to development initiatives.

Relief as Navy supports Gombe community with school, water projects

Continue Reading

News

Adeleke appeals to Army to prevent bandits’ infiltration into Osun from Kwara

Published

on

Adeleke appeals to Army to prevent bandits’ infiltration into Osun from Kwara

By: Zagazola Makama

Ademola Adeleke of Osun on Saturday appealed to the Nigerian Army to intensify efforts at preventing the infiltration of bandits into the state from neighbouring Kwara.

Adeleke made the appeal while speaking at the Passing Out Parade of the 89 Regular Recruits Intake held at the Nigerian Army Depot, Osogbo.

The governor, who described the event as significant to national security, said the ceremony underscored the critical role of the military in protecting Nigeria’s territorial integrity and defending the Constitution.

He commended the Nigerian Army for its decades of service in maintaining both internal and external peace, noting that the Army, in collaboration with other services, the Police and security agencies, had remained central to the containment of terrorism, banditry and communal conflicts.

“For us as a state government, we have enjoyed a very close partnership with the Nigerian Army and the entire military establishment. From my hometown and across the state, our engagement with servicemen has continued to deliver peace and stability,” he said.

Adeleke said Osun had remained one of the most peaceful states in the country largely due to the sacrifices and dedication of the military and other security agencies, stressing that the state government deeply appreciated the efforts of servicemen and women.

He disclosed that troops were currently deployed in border communities between Osun and neighbouring states to conduct special operations aimed at containing banditry and kidnapping.

“Our dear Army Chief, your men are currently around the border towns between Osun and Kwara States conducting special operations to contain banditry and kidnapping. We are very grateful for this support,” the governor said.

He, however, appealed for sustained military presence to prevent any infiltration of bandits into Osun from Kwara State, describing the threat as real but expressing confidence that the ongoing operations would succeed.

Addressing the newly passed-out recruits, Adeleke urged them to remain dedicated to the values and ethos of military service, reminding them that they were joining an institution widely acknowledged as the heartbeat of the nation.

“You have a duty to remain loyal to the Nigerian Army, the Constitution and the Federal Republic of Nigeria,” he said.

The governor also called on political leaders across the country to adopt dialogue and consensus-building in resolving governance challenges, noting that political solutions would reduce tension and ease the burden on the military and other security agencies.

He commended President Bola Ahmed Tinubu, the Commander-in-Chief of the Armed Forces, for promoting inclusiveness in governance, saying such an approach would strengthen national unity and stability.

Adeleke assured that the Osun State Government remained committed to peaceful political engagement and harmony, adding that this would enable security agencies to focus on their core responsibilities of protecting lives and property.

The passing-out parade was attended by senior military officers, traditional rulers, government officials, serving and retired military personnel, other security operatives and representatives of the media.

Adeleke appeals to Army to prevent bandits’ infiltration into Osun from Kwara

Continue Reading

Trending

Verified by MonsterInsights