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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.”
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
Beyond the Frontline: Ashlee Momoh Foundation Restores Hope to Widows of Fallen Heroes
Beyond the Frontline: Ashlee Momoh Foundation Restores Hope to Widows of Fallen Heroes
By Comrade Philip Ikodor
KADUNA – When a soldier falls in the line of duty, the echoes of the final salute eventually fade, but for the families left behind, a silent and grueling battle begins. While these brave men defended the nation’s sovereignty with courage, their widows are often left to navigate a minefield of poverty, trauma, and social isolation.
In a decisive move to address these challenges, the Ashlee Momoh Foundation (AMF) held a special outreach event at the Golden Orange Gate Hotel in Kaduna State on Thursday, May 21, 2026. The initiative sought to provide a lifeline to the families of departed heroes, framed not as charity, but as a profound national debt of gratitude.

The Chairperson and CEO of the Foundation, Princess Ashlee Momoh, emphasized that the AMF remains committed to ensuring no widow walks alone. She noted that the sacrifice of a soldier continues in the quiet hallways of homes where wives suddenly become sole providers.
“Many military widows face a daunting reality: sudden loss of income, housing insecurity, and a lack of access to specialized mental health support,” Princess Momoh stated. “Unless intentional interventions are made, these families remain trapped in a cycle of hardship that dishonors the legacy of the departed. Your story does not end in sorrow; it continues in purpose.”

Princess Momoh outlined the Foundation’s three strategic pillars designed to bridge the gap between loss and self-sufficiency:
Economic Independence: Providing small business grants, financial literacy, and vocational skills to restore dignity and autonomy.
Securing the Future: Offering scholarships and tuition assistance so that children do not pay for their fathers’ patriotism with their education. Emotional Fortitude: Establishing counseling and wellness groups to ensure widows are seen, heard, and sustained.

The Chairperson called for a “whole-of-society” approach, urging the government, private sector, and philanthropic organizations to join in collective action. While government intervention is pivotal, she noted that partnerships are essential to scaling the impact of these programs.
The event featured the distribution of empowerment gift items and the announcement of new scholarship awards. Prominent guests, partners and volunteers in attendance included Special Guests of Honor, Air Commodore Chris Dola (Rtd), PhD, and General Brown Yakubu (Rtd), CEO of Golden Orange Gate Hotel, both of whom delivered goodwill messages and also contributed immensely in support of the Foundation’s mission.
Beyond the Frontline: Ashlee Momoh Foundation Restores Hope to Widows of Fallen Heroes
News
Mali Protests Saudi Media Reports, Accuses Journalists of Sowing Disinformation
Mali Protests Saudi Media Reports, Accuses Journalists of Sowing Disinformation
By: Zagazola Makama
The Government of Mali has lodged a formal diplomatic protest with the Kingdom of Saudi Arabia over recent media reports concerning the security situation in northern Mali, particularly around the Kidal region.
The protest follows broadcasts by Saudi-based media outlets Al Arabiya and Al Hadath, which Bamako described as misleading and damaging to the image of the Malian Armed Forces (FAMa).
In a statement issued by the Ministry of Foreign Affairs on May 17, 2026, the Malian authorities accused journalist Ibrahim Moustapha, correspondent for the two networks, of entering the country “illegally” and operating in “flagrant violation of Mali’s sovereignty.”
The government further alleged that the journalist may have had links with armed groups operating in the region, an accusation the authorities extended to the content of the reports aired by the networks, which Bamako described as “false, unfounded and aimed at undermining national institutions.”
The reports in question reportedly focused on security developments in northern Mali, including the Kidal axis, an area where state authority has faced persistent challenges from armed groups.
The diplomatic note also warned that such reporting could strain relations between Mali and Saudi Arabia, a country Bamako described as a “long-standing friend and partner.”
The development comes amid ongoing debate over press freedom and media access in Mali, where international organisations have repeatedly raised concerns about restrictions on journalists and shrinking civic space under the transitional authorities.
Observers note that Mali has in recent years tightened oversight of media operations through regulatory bodies, including suspensions of outlets and prosecutions linked to alleged dissemination of false information.
Bamako’s action has renewed discussion on the role of journalists in conflict zones, with media rights advocates maintaining that independent reporting remains a core element of international humanitarian law, provided journalists do not take part in hostilities.
Tensions reportedly escalated further after Al Arabiya broadcast footage showing Malian soldiers allegedly held captive in the north, a development the government also condemned as an infringement on national sovereignty.
While the Malian authorities maintain that media coverage must respect territorial integrity and security sensitivities, press freedom advocates argue that conflict reporting does not necessarily require prior authorisation from parties to a conflict.
The situation has raised concerns over possible diplomatic friction between Bamako and Riyadh, although no official response has yet been issued by the Saudi authorities or the media organisations involved.
Any prolonged disagreement could carry broader diplomatic and economic implications for Mali, which continues to navigate complex security and international relations challenges in the Sahel region.
Mali Protests Saudi Media Reports, Accuses Journalists of Sowing Disinformation
News
Chief Imam of Ogbomoso calls for stiff punishment for kidnappers, urges FG to enforce maximum penalties
Chief Imam of Ogbomoso calls for stiff punishment for kidnappers, urges FG to enforce maximum penalties
By: Zagazola Makama
The Chief Imam of Ogbomoso has called on the Federal Government to adopt stricter measures against kidnappers and armed criminals involved in attacks on schools and abduction of children, urging that offenders be made to face the full weight of the law.
The religious leader made the call while reacting to recent cases of school attacks, killings of teachers, and abduction of pupils in parts of the country, describing such acts as grave crimes against humanity and unacceptable under any moral or legal standard.
He stressed that individuals who engage in kidnapping, killing of innocent civilians and terrorising communities should not be granted leniency, amnesty or reintegration, but should instead be prosecuted and subjected to the maximum penalties prescribed under Nigerian law.
The Chief Imam said religious teachings emphasise justice, protection of innocent lives and accountability for those who commit serious crimes, adding that insecurity affecting schools and rural communities must be confronted decisively by the state.
He called on security agencies and judicial authorities to ensure that arrested suspects are properly prosecuted in accordance with due process, while urging government to strengthen protective measures around vulnerable communities, especially schools and rural settlements.
According to him, sustained attacks on teachers, children and civilians undermine national stability and require a firm and coordinated response from both security and justice institutions.
The Imam further urged policymakers to prioritise the safety of citizens over considerations that may weaken deterrence, insisting that justice must be seen to be served in order to restore public confidence in the security system.
He, however, maintained that all actions must remain within the framework of the law, stressing that the rule of law remains central to any sustainable response to insecurity.
Chief Imam of Ogbomoso calls for stiff punishment for kidnappers, urges FG to enforce maximum penalties
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