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

Published

2 years ago

March 5, 2024

Ochuwa Ibrahim

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

Police foil kidnap attempt, rescue mother and daughter in Benue

Published

4 hours ago

February 6, 2026

Ochuwa Ibrahim

Police foil kidnap attempt, rescue mother and daughter in Benue

By: Zagazola Makama

The Benue State Police Command has foiled a kidnapping attempt and rescued a woman and her daughter in Tsegbum Community along Naka Road in Makurdi.

Sources said the incident occurred at about 2:20 a.m. on Wednesday when unknown armed men broke into the residence of Mrs Kate Ijuo, 42, and attempted to abduct her and her daughter.

According to a sources from the command, the Divisional Police Officer (DPO) of ‘D’ Division, Makurdi, received a distress call from the victim and immediately mobilised a joint team of police operatives, OPS Zenda Joint Task Force, Anti-Cult, and Cybercrime patrol units to the scene.

On sighting the approaching security teams, the suspects abandoned the victims and fled the area, the sources said.

“The victims were rescued unhurt, while efforts are ongoing to track down the fleeing suspects and effect their arrest,” the command said.

The command urged residents to remain vigilant and promptly report suspicious movements to security agencies.

Police foil kidnap attempt, rescue mother and daughter in Benue

News

25m Nigerians To Benefit As President Tinubu Expands Women’s Economic Programme

Published

4 hours ago

February 6, 2026

Ochuwa Ibrahim

25m Nigerians To Benefit As President Tinubu Expands Women’s Economic Programme

FG rolls out digital platform connecting women to finance, markets, skills

By: Our Reporter

President Bola Ahmed Tinubu has expanded the Nigeria for Women Programme to reach 25 million beneficiaries nationwide, reaffirming his administration’s commitment to women’s economic inclusion and national development.

The programme’s pilot phase in six states had already reached over one million beneficiaries, with the scale-up introducing the Happy Woman App Platform, a secure digital interface that connects women to finance, skills, markets, essential services, and government support.

Speaking on Thursday at the Presidential Launch of the Programme Scale-Up at the Presidential Villa, Abuja, the President, who was represented by his deputy, Vice President Kashim Shettima, noted that Nigeria cannot achieve sustainable growth without placing women at the centre of national planning.

“A nation that relegates its women is a nation bound for implosion. We have long understood this truth. That is why this administration has not only placed women at the forefront of decision-making but has also entrusted them with leadership in causes that redeem our national promise. Today stands as proof of that commitment, and I am proud to be part of this journey,” he said.

President Tinubu observed that while women are the authors of Nigeria’s development story, they remain essential to family stability, community resilience and national productivity.

“We have set a bold but achievable national ambition: to reach 25 million Nigerian women through this programme,” he stated, calling on the World Bank to strengthen its financing, technical support and innovation partnerships for the national scale-up.

“Digital inclusion is no longer optional; it is foundational to effective service delivery and national competitiveness,” he added.

The President designated 2026 as the “Year of Social Development and Families in Nigeria,” directing coordinated action across all levels of government.

The declaration followed a Memorandum of Understanding signed during his January official visit to Turkey, aimed at strengthening family cohesion and social welfare systems.

President Tinubu commended the Federal Ministry of Women’s Affairs and Social Development for integrating technology into policy implementation and for reorganising social development into a more coherent system since the launch of the Renewed Hope Social Impact Intervention in Lafia last year, noting the transformation reflected what purposeful leadership can achieve.

The President also praised state governors and the Nigeria Governors’ Forum for aligning federal vision with state-level execution, stating that “national transformation succeeds when all levels of government move with shared purpose.”

Earlier in her welcome address, the Minister of Women Affairs and Social Development, Hajiya Imaan Sulaiman Ibrahim, said the launch underscored a significant shift under the leadership of President Tinubu, where women are no longer viewed as peripheral beneficiaries of development but as central drivers of Nigeria’s economic growth, social cohesion, and democratic stability.

She described the launch of the Nigerian for Women Project (NFWP) Scale-Up as one of the most far-reaching and ambitious expansions of social and economic empowerment in the nation’s history.

The Minister noted that phase one of the project successfully achieved its objectives of addressing harmful social norms and strengthening women’s socio-economic resilience.

Beyond these achievements, she emphasized that the project delivered compelling evidence of the transformative power of women’s empowerment.

She further announced the launch of Nigeria’s Third National Action Plan on United Nations Security Council Resolution 1325 on Women, Peace, and Security, positioning Nigeria among a select group of countries worldwide to attain this milestone.

Also, the World Bank Regional Representative for Africa, Mr. Robert Chase, explained that the project was designed by the bank’s Social Policy Department to place women at the center of development, emphasizing that investing in women remains the most impactful investment any nation can make.

On his part, Director of the Nigeria Country Office of the Bill and Melinda Gates Foundation, Mr. Uche Amaonwu, who noted that empowering women directly translates to healthier families and safer communities, said women’s empowerment significantly reduces disease and insecurity at the household level.

For his part, Minister of Agriculture and Food Security, Senator Abubakar Kyari, expressed his Ministry’s readiness to collaborate on initiatives aimed at empowering women across the country.

Representative of the Senate President, Senator Godswill Akpabio, Senator Ireti Kingibe, stated that the scale-up of the Nigerian for Women Project reflects the Federal Government’s commitment to addressing the needs of women.

She added that the National Assembly would continue to enact legislation to expand women’s access to governance and economic resources.

Delivering the goodwill message of the Nigeria Governors’ Forum, the Deputy Governor of Katsina State, Malam Faruk Jobe, reaffirmed the commitment of state governments to providing counterpart funding for the successful implementation of women-focused projects.

He disclosed that Katsina State, a participating state in the project, has earmarked ₦4 billion in its current budget to support the initiative.

25m Nigerians To Benefit As President Tinubu Expands Women’s Economic Programme

News

IPA commends Gov AbdulRahman and military on improved security efforts in Kwara

Published

4 hours ago

February 6, 2026

Ochuwa Ibrahim

IPA commends Gov AbdulRahman and military on improved security efforts in Kwara

By: Bodunrin kayode

The Igbomina Professionals Association (IPA) of Kwara state have commended the leadership of Governor AbdulRahman AbdulRazaq, for his sustained commitment to improving security across the state, particularly through recent decisive actions against criminal elements.

The Association made this known in a news release jointly signed by its National President, Olabode Iranloye, and the Assistant Secretary, Mustafa Abubakar, made available recently to newsmen in ilorin.

The statement applauded the government’s support for enhanced security architecture, the upgrade of traditional rulers (Obas) in Igbomina land to 2nd, 3rd, and 4th class status respectively.

They also commended the governor for the reopening of schools, and the relocation of the School of Nursing back to Oke Ode, which to them collectively demonstrates a renewed commitment to stability, development, and public confidence.

IPA also acknowledged the arrest of suspected criminal elements and urged relevant authorities to ensure that justice is fully and transparently dispensed, in line with the rule of law, to serve as a strong deterrent to criminality.

The Association further commended the Nigerian Army, the Nigerian Police Force, other Nigerian troops, forest guards, and local hunters for their courage and professionalism in ridding the general area of criminal elements.

The association particularly mentioned the outstanding performance of the 2 Division of the Nigerian Army under Operation IGBO DANU ( Forest Flush), which has led to the dismantling of several terrorist enclaves, destruction of logistics bases, arrest of suspects, and the rescue of several kidnapped victims across the State.

IPA recognised the leadership of Major General Chinedu Nnebife, General Officer Commanding (GOC) 2 Division Nigerian Army, and Brigadier General Nicholas Rume, Commander 22 Armoured Brigade, as well as the strategic support of the Office of the National Security Adviser (ONSA), whose coordinated efforts have significantly degraded terrorist operations in the state.

The Association called on the Kwara State Government and security agencies to sustain the tempo of these operations and assured them of the full support of the Igbomina Professionals Association in the ongoing drive to secure lives and property.

IPA also urged for intensified efforts to ensure the safe return of all residents still in captivity, stressing that the safety and dignity of citizens must remain paramount.

The Association further called on all Kwarans to cooperate with security agencies by exposing criminal collaborators within their communities, emphasising that “if you see something, say something.”

Collective vigilance, the association noted, remains critical to sustaining peace and security in Kwara State.

IPA commends Gov AbdulRahman and military on improved security efforts in Kwara