News
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
Atiyaye unveils a book on the history of Kukar-Gadu
Atiyaye unveils a book on the history of Kukar-Gadu
By: Yahaya Wakili
Millions of naira were realized at the Unveiling Potentials of Kukar-Gadu, Launching of History of Kukar-Gadu Book, Presentation of Kukar-Gadu Physical Development Plan, and Commissioning of Kukar-Gadu Empowerment Development Initiative at Kukar-Gadu town of Yobe state.
In his keynote address, the Chairman of the Kukar-Gadu Empowerment Development Initiative (KEDI), TPI, Barnabas Atiyaye, said the Kukar-Gadu Empowerment Development Initiative was triggered by Victim Support Funds’ (VSF) proactive intervention activities chaired by Gen. T. Y. Danjuma from inception to its closure in 2024.
He said through KEDI, we aim to create opportunities where there was once struggle to restore hope, where there was once despair, and to build bridges where there was once division. We are resolved to work for a Kukar-Gadu that is empowered, self-reliant, forward-looking, and united. We desire to be a springboard for the development of not only the Kukar-Gadu or Fika local government area, but the entire Yobe state and, by extension, the nation.
Mr. Barnabas revealed that the master plan of Kukar-Gadu is more than a technical document; it is a covenant with the future, a clear roadmap that defines how we as a community shall shape the physical, social, and economic destiny of our community, and it will also provide guidance for infrastructure, housing, agriculture, education, commerce, and environmental sustainability.
“The history of Kukar-Gadu” is more than a collection of dates and events. It is the story of our fathers, their struggles, their courage, their triumphs, and their faith. It tells of the foundations upon which we now stand, and in commissioning this book, we are not only honoring our past, we are preserving it for generations yet unborn.
Atiyaye appeals to individuals, schools, libraries, and government institutions to obtain copies of this book; it serves as a source of knowledge and inspiration for our youth so that they may know their roots and carry our values forward with pride. We pray that this book will keep alive the spirit of unity, courage, and progress that defines Kukar-Gadu. Ameen.
Speaking, the Chairman of the occasion, Dr. Ali Adamu Tikau (Talban Tikau), ably represented by Professor Dauda Abubakar, said that to have the Emir of Fika, along with the Emir of Pataskum, along with representatives of His Excellency, Governor Mai Mala Buni, CON, COMN, the representative of the Senator of the National Assembly, and many other personalities to come to this village in the Fika local government area, I will say that we are so excited and very proud of what is happening today.
He said the launching of the history of Kukar-Gadu is also a milestone at the program, and it is one of the highlights. It was a book written by Malam Ibrahim Sara Bangalu, who is also a son of Kukar-Gadu, and I had the opportunity of editing the book and making the necessary corrections before it was taken to press. It is a history that will help us reflect on who we are as a people. When a people do not know their history, when a people do not know where they come from, they will easily get lost. That is the purpose of launching.
“I would say that Kukar-Gadu, Goya district, Fika local government, and Gudi are places that are very special because of the type of educated people they have produced. I am a product of this community, and I am a living testament to the opportunities this community gave me, and I believe many are benefiting from it.
Also speaking, the district head of Goya, Alhaji Musa Garba Daya, said what the people of Kukar-Gadu did has become a big challenge to all the people of Goya district; they broke the record and urged the people to wake up to create something for the betterment of the people.
“If you observe, they print a master plan of Kukar-Gadu and focus on many years ahead. So this initiative—I am so impressed with it because it will help for the fiscal planning of the area for over ten years, as Alhaji Musa Garba Daya said.
According to him, the people of Kukar-Gadu are also commissioning the Empowerment Development Initiative, which was triggered by Victim Support Funds (VSF), chaired by Gen. T. Y. Danjuma, and I appreciate it so much because these will greatly assist both our youth and women of the area.
Atiyaye unveils a book on the history of Kukar-Gadu
News
ActionAid Nigeria Warns of Rising Debt, Weak Social Spending in 2026 Budget Proposal
ActionAid Nigeria Warns of Rising Debt, Weak Social Spending in 2026 Budget Proposal
By: Michael Mike
ActionAid Nigeria has raised serious concerns over the Federal Government’s proposed 2026 Appropriation Bill, warning that the budget could worsen Nigeria’s debt burden and further sideline key social sectors critical to poverty reduction and inclusive growth.
In its review of the ₦58.18 trillion budget proposal, the organisation said the 5.8 per cent increase over the 2025 approved budget does not sufficiently address long-standing fiscal and structural challenges. Instead, it noted that the financing plan, size of the deficit, and sectoral priorities pose risks to fiscal sustainability and accountability.
ActionAid Nigeria expressed particular concern over the continued extension of budget implementation timelines, which has resulted in the 2026 budget running alongside extended 2024 and 2025 budgets. According to the organisation, operating multiple budgets simultaneously weakens transparency, limits effective legislative oversight, and increases the risk of mismanagement of public funds, especially for capital and social sector projects.
The group, in a statement on Tuesday by its Country Director, Dr. Andrew Mamedu, also pointed to repeated post-submission changes by the National Assembly, including upward adjustments to allocations without secured funding sources, as a key factor contributing to funding gaps, delayed releases, and the rollover of projects across fiscal years.
On the fiscal outlook, ActionAid Nigeria highlighted that the proposed 2026 budget projects revenue of ₦34.33 trillion against total spending of ₦58.18 trillion, leaving a deficit of ₦23.85 trillion. It described the figure as the largest deficit in Nigeria’s history, representing sharp increases over the 2024 and 2025 deficits.
It warned that heavy reliance on borrowing, without strong investment in productive and social sectors, could deepen inequality and constrain long-term development.
ActionAid Nigeria said that despite government claims that education, health, agriculture, infrastructure, and security are priority areas, lamented that allocations to social sectors remain inadequate.
Mamedu, in the statement, noted that education allocated ₦3.52 trillion, about six per cent of the total budget, and health receiving ₦2.48 trillion, just over four per cent—are both far below international benchmarks, and in contrast with defence allotted spending standing at ₦5.41 trillion.
The organisation also faulted the budget for failing to address underemployment and poor-quality jobs, particularly among women and rural populations, noting insufficient investment in agriculture, rural infrastructure, and women-led enterprises. It further warned that weak funding for social protection programmes could worsen hardship for millions of Nigerians facing rising living costs.
ActionAid Nigeria also criticised the late submission of the Medium-Term Expenditure Framework, Fiscal Strategy Paper, and the 2026 Appropriation Bill, describing it as a breach of the Fiscal Responsibility Act.
The organisation urged the Federal Government and the National Assembly to end the practice of running multiple budgets, strengthen fiscal discipline, reduce dependence on borrowing, and significantly increase funding for education, health, agriculture, and social protection.
It stressed that Nigeria cannot overcome poverty through debt-driven spending, but through a people-centred and accountable budget that prioritises human development.
ActionAid Nigeria Warns of Rising Debt, Weak Social Spending in 2026 Budget Proposal
News
NSCDC Nabs Three Suspected Infrastructure Vandals in Abuja
NSCDC Nabs Three Suspected Infrastructure Vandals in Abuja
By: Michael Mike
Operatives of the Nigeria Security and Civil Defence Corps (NSCDC) in the Federal Capital Territory have arrested three young men suspected of vandalising public infrastructure in Abuja.
The suspects were intercepted near the National Stadium area close to the National Hospital along Constitution Avenue during intensified patrols carried out as part of yuletide security operations.
According to the NSCDC, the men were allegedly caught in possession of damaged road safety installations, which they were believed to be preparing to transport from the area. Recovered items included several road crash barriers and a heavy-duty hammer.
The suspects were identified as Abdulsalam Aminu, 25, Mustapha Sale, 26, and Suleiman Sani, 19, and they are currently in custody while investigations is said to continue.
Speaking on the development, the FCT Commandant of the NSCDC, Dr. Olusola Odumosu, said the arrests were part of deliberate efforts by the command to protect critical public assets, particularly during festive periods when vandalism and theft often spike.
He lamented that public infrastructure provided to enhance safety and improve living conditions is frequently targeted by criminals for personal gain, describing such acts as a major threat to public welfare.
Odumosu stressed that the corps would remain relentless in safeguarding government facilities including roads, bridges, crash barriers, power installations and other vital infrastructure across the territory.
The commandant warned individuals involved in vandalism to desist or risk prosecution, noting that the agency would enforce the law without compromise. He also urged residents to support security agencies by reporting suspicious activities to help curb the destruction of public assets in the FCT.
NSCDC Nabs Three Suspected Infrastructure Vandals in Abuja
-
News2 years agoRoger Federer’s Shock as DNA Results Reveal Myla and Charlene Are Not His Biological Children
-
Opinions4 years agoTHE PLIGHT OF FARIDA
-
News8 months agoFAILED COUP IN BURKINA FASO: HOW TRAORÉ NARROWLY ESCAPED ASSASSINATION PLOT AMID FOREIGN INTERFERENCE CLAIMS
-
Opinions4 years agoPOLICE CHARGE ROOMS, A MINTING PRESS
-
News2 years agoEYN: Rev. Billi, Distortion of History, and The Living Tamarind Tree
-
ACADEMICS2 years agoA History of Biu” (2015) and The Lingering Bura-Pabir Question (1)
-
Columns2 years agoArmy University Biu: There is certain interest, but certainly not from Borno.
-
Opinions2 years agoTinubu,Shettima: The epidemic of economic, insecurity in Nigeria
