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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
Security forces Conduct Show of Force In Jos, Bukuru During Church Services
By: Zagazola Makama
Joint Security forced in Plateau State on Sunday conducted a joint show of force across major flashpoints within Jos metropolis and the Bukuru general area to ensure peaceful church services and strengthen public confidence.
The operation involved troops of Operation Enduring Peace, personnel of the Nigerian Air Force 551 Station, Operation Keystone, the Nigeria Security and Civil Defence Corps (NSCDC), and other security agencies.
Security sources said the exercise commenced at about 7:30 a.m. and was aimed at denying criminal elements freedom of action while providing adequate security coverage during church services.
The coordinated patrols and visibility operations covered identified vulnerable areas and strategic locations within Jos and Bukuru.
According to the sources, the operation was conducted without any security breach or incident, while religious activities across the affected areas remained peaceful.
The security agencies reaffirmed their commitment to sustaining collaborative operations aimed at maintaining law and order as well as protecting lives and property in Plateau State.
Security forces Conduct Show of Force In Jos, Bukuru During Church Services
Teenage Sensations Rosemary, Miracle Win Gold for Nigeria, Secure World Championship Spot
Nigeria recorded a major triumph at the 24th CAA Senior Athletics Championship in Accra, Ghana, as teenage athletes Rosemary and Miracle delivered a stunning performance to win gold for the country in the women’s 4x100m relay event.
The young stars, both students of NTIC Secondary School, helped Team Nigeria clinch the gold medal with an impressive time of 42.94 seconds, further underlining the country’s growing strength in athletics.
Their victory also secured Nigeria a ticket to the World Championships in Gaborone, while guaranteeing qualification for the 2027 World Championship in China.
The feat was particularly remarkable for Rosemary, who was making her senior debut for Nigeria at the continental championship.
Sports enthusiasts have since praised the duo for proving that age is no barrier to excellence, with many describing their performance as a glimpse into the bright future of Nigerian athletics.
Teenage Sensations Rosemary, Miracle Win Gold for Nigeria, Secure World Championship Spot
News
The Role of Intelligence in the Nigeria-US Joint Counter-Terrorism Operations That Neutralized Top ISWAP Commander, Fighters
The Role of Intelligence in the Nigeria-US Joint Counter-Terrorism Operations That Neutralized Top ISWAP Commander, Fighters
By Augustine Aminu
On Friday, May 16, 2026, the world was jolted by news of the killing of top commander of the Islamic State’s West Africa Province (ISWAP), Abour Mainok and several other fighters. Also known as Abu Bilal al-Minuki, and considered the second-in-command of ISIL (ISIS) globally, the top terrorist commander was reportedly killed during a joint Nigeria-U.S. Counter Terrorism operation in Metele, Borno State.
Ever since the elimination of al-Minuki, considered one of the biggest blows in recent times to terrorists in the world over, torrents of encomium have been pouring in for the Nigeria -U. S. joint terrorism operations.
Posting on his Truth Social handle, U. S. President Donald Trump, wrote, “Brave American forces and the Armed Forces of Nigeria flawlessly executed a meticulously planned and very complex mission to eliminate the most active terrorist in the world from the battlefield,”
Al-Minuki, added President Trump, “thought he could hide in Africa, but little did he know we had sources who kept us informed on what he was doing.”
On his part, President Bola Tinubu stated that both countries had “recorded a significant example of effective collaboration in the fight against terrorism”.
Early assessments indicate that al-Minuki, along with “several of his lieutenants,” were killed during a strike on his compound in Metele, Borno State,” Tinubu said.
“Nigeria appreciates this partnership with the United States in advancing our shared security objectives,” he added. “I extend my sincere gratitude to President Trump for his leadership and unwavering support in this effort,” he added.
A few days after President Trump praised Nigerian Intelligence services for helping to hunt down Abu-Bilal al-Minuki, a man he described as “the most active terrorist in the world,” US Air Force General, Dagvin R.M. Anderson, Commander of U.S. Africa Command, also spoke glowingly of Nigeria’s Intelligence services.
Remarked Anderson, “The Nigerians have been instrumental throughout the last several months, developing the target, helping us with the Intelligence and providing support. So, it could not have been done by our own Forces. We needed to do that in conjunction with them.”
Security sources who analyzed President Trump’s terse statement, alongside that of the to head of AFRICOM, General Anderson, were quick to point out that the “sources” who kept the United States and Nigerian Armed Forces informed of the movements of al-Minuki and his fighters, may be none other than Nigeria’s Intelligence agencies: the Department of State Services (DSS), the Nigerian Intelligence Agency (NIA), and Defence Intelligence Agency (DIA).
Interestingly, six days before al-Minuki’s elimination, something crucial to the fight against terrorism happened in one North central town, well over 1,100 kilometres away from Metele, Borno State, where al-Minuki and over 175 of his fighters would meet their Waterloo.
Just as DSS, NIA and DIA operatives were helping US and Nigerian troops monitor the movement of Al-Minuki and his fighters around the Lake Chad region, a set of DSS operatives covertly captured a notorious leader of one of ISWAP’s critical cell in Nigeria . His name is Abdulrahman Ozovieh Muhammad alias Abu Ghozi.
Abu Ghozi, security sources believe, masterminded the December 2020 attack on a military checkpoint in Okene, killing two naval personnel and carting away their weapons.
Additionally, Abu Ghozi is believed to have masterminded the 11th March, 2021 bank robbery at Okuku, in Oda-Atin LGA of Osun State; carried out several attacks on police formations in Okene, Okehi and Adavi LGAs. He didn’t spare security checkpoints along Okene-Auchi, Okene –Kabba and Okene-Ajaokuta roads.
Also believed to be behind several kidnaps, including the October 2025 kidnap of a Chinese national in Okpella, Edo State, during which eight personnel of the Nigerian Security and Civil Defence Corps (NSCDC) were killed, is Abu Ghozi.
In January, 2026, his group reportedly attacked and burnt down the house of the Chief Priest at Uhodo area of Okehi LGA. Members of his suspected terrorist group were, before his arrest by the DSS, reportedly set to attack detention facilities in Kainji and Abuja, to release detained members of their group.
Security sources believe that Abu Ghozi’s capture by DSS officers may have greatly helped the Nigerian Intelligence Services (DSS, NIA and DIA) gather further Intelligence that was ultimately used to nail al-Minuki and his fighters six days later in faraway Metele, Borno State.
No doubt, Nigeria’s Intelligence community and their military counterpart again proved very invaluable to the recent successes in the global fight against terrorism, and helped position Nigeria as a very trusted ally in the fight against terrorism.
For the first time since Nigeria began fighting terrorism circa 2010, the country has now fully turned the heat on terrorists, smoking them.out on a daily basis.. The recent successes recorded shows that with our Armed Forces increasingly relying on the intelligence supplied by the DSS, NIA and DIA, Nigeria will sooner than later overcome her security challenges.
Aminu has been online editor of several newspapers, and lives in Abuja
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