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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
Spate in Bloodshed in the North: KACRAN Calls for Diplomatic Solution
Spate in Bloodshed in the North: KACRAN Calls for Diplomatic Solution
By: Michael Mike
As fresh waves of violence leave communities in mourning across Northern Nigeria, the Kulen Allah Vitality Self-Reliance Association (KACRAN) has called for an immediate diplomatic surge to end the spiraling insecurity that has claimed more than 200 lives in recent attacks in Niger and Kwara states.
In a statement issued on Sunday, the association condemned what it described as a relentless cycle of killings, kidnappings and livestock rustling that has devastated families and crippled rural economies.
It also decried the reported abduction of 176 persons in parts of Kwara State, urging security agencies to ensure their swift and unconditional release.
KACRAN said while the military has continued to confront armed groups across the region, force alone cannot deliver lasting peace.
“Permanent peace is built on trust, dialogue and unity of purpose, not bullets alone,” the association said, warning that prolonged militarisation of internal conflicts risks creating more complex and entrenched crises.
The group acknowledged ongoing security interventions under President Bola Tinubu and commended the leadership of the National Security Adviser, Nuhu Ribadu, as well as the Chief of Defence Staff, Christopher Musa.
It praised the sacrifices of troops on the frontlines but expressed concern that despite a defence budget exceeding N5 trillion in 2026, attacks continue in several communities.
According to KACRAN, the persistence of violence suggests the need for a complementary political and diplomatic framework to address the root causes of instability, including poverty, youth unemployment, communal mistrust and competition over land and grazing resources.
The association proposed what it termed a “diplomatic roadmap” anchored on three key pillars: coordinated leadership among Northern governors and stakeholders; structured dialogue to rebuild trust between affected communities; and economic reinvestment in agriculture and youth empowerment.
It stressed that redirecting resources toward job creation, infrastructure and holistic agricultural development — spanning crop farming, livestock and fisheries — would undercut the economic incentives driving criminality.
“Peace and security in the North is the bedrock of peace in Nigeria,” said Hon. Khalil Bello, National President of KACRAN, urging Northern leaders to close ranks and take collective responsibility for restoring stability.
The North has faced years of overlapping security challenges, from banditry and kidnapping to farmer-herder clashes and organized criminal networks. Entire villages have been displaced, schools shut down and farmlands abandoned, worsening food insecurity and economic hardship.
Security analysts note that while military operations have recorded tactical successes, the absence of sustained dialogue and socio-economic reforms has allowed violence to resurface in cycles.
KACRAN warned that Nigeria must avoid the prolonged instability seen in conflict-ridden nations, emphasizing that unity and inclusive engagement remain the only viable path to sustainable peace.
Spate in Bloodshed in the North: KACRAN Calls for Diplomatic Solution
News
Nigerians in Diaspora Commission Boss Demands Justice Over Killing of Nigerian Driver in South Africa
Nigerians in Diaspora Commission Boss Demands Justice Over Killing of Nigerian Driver in South Africa
By: Michael Mike
The Chairman/Chief Executive Officer of the Nigerians in Diaspora Commission (NiDCOM), Abike Dabiri-Erewa, has strongly condemned the killing of a 22-year-old Nigerian e-hailing driver, Isaac Satlet, in Pretoria, South Africa, describing the incident as deeply troubling and unacceptable.
In a statement issued in Abuja on Sunday, Dabiri-Erewa called on South African authorities to ensure the immediate arrest and prosecution of all those involved in the crime. She said the recurring cases of violence and criminal attacks against Nigerians living in South Africa have become a serious source of concern.
The NiDCOM boss noted that Nigeria and South Africa share a long history of diplomatic, economic and historical ties, rooted in solidarity during the anti-apartheid struggle, however expressing disappointment that despite this relationship, some individuals continue to perpetrate violent crimes against fellow Africans.
Dabiri-Erewa urged South African authorities to guarantee the protection of lives and property of non-indigenes, stressing that justice must not only be done but be seen to be done in the case of the murdered driver.
She reiterated the Commission’s resolve to strengthen rapid response protocols and institutionalise structured escalation mechanisms for handling diaspora-related emergencies. According to her, NiDCOM will intensify risk mapping strategies and deepen structured engagement with host authorities to improve the safety of Nigerians abroad.
Meanwhile, South African police have reportedly arrested a female suspect in connection with the brutal murder of Satlet, which occurred on February 11, 2026, in Pretoria West. The suspect is expected to appear before the Atteridgeville Magistrate’s Court on February 16, 2026, on charges of car hijacking and murder.
Police reports indicate that Satlet had picked up two passengers — a male and a female — through an e-hailing platform before he was attacked and his vehicle hijacked. His body and the stolen car were later discovered in Atteridgeville.
Dashcam footage reportedly captured part of the incident and played a crucial role in the swift arrest of the female suspect. Authorities are still searching for the male suspect, with further arrests anticipated.
The killing has sparked widespread outrage within the Nigerian community in South Africa and back home, with renewed calls for improved safety measures for e-hailing drivers who often operate in high-risk environments.
Satlet, described by friends and associates as hardworking and ambitious, was a student preparing to graduate next month. He had reportedly planned to pursue further studies in Canada, making his death even more devastating for his family and loved ones.
Over the past decade, diplomatic relations between Nigeria and South Africa have occasionally come under strain due to recurring xenophobic attacks and criminal incidents involving foreign nationals, including Nigerians. Several bilateral meetings and joint commissions have been convened to address concerns over citizens’ safety and promote cooperation on migration and security issues.
NiDCOM, established to engage and protect Nigerians in the diaspora, has repeatedly advocated structured frameworks with host countries to respond swiftly to emergencies affecting Nigerian nationals abroad. The Commission has also called for improved documentation, safety awareness, and collaboration between diaspora groups and local law enforcement agencies.
Dabiri-Erewa reaffirmed that while Nigeria respects the sovereignty of South Africa, the safety and protection of Nigerian citizens abroad remain non-negotiable.
Nigerians in Diaspora Commission Boss Demands Justice Over Killing of Nigerian Driver in South Africa
News
Kidnapped worshippers of St. John Catholic Church regain freedom in Benue, four suspects arrested
Kidnapped worshippers of St. John Catholic Church regain freedom in Benue, four suspects arrested
By: Zagazola Makama
The Benue State Police Command has confirmed the release of worshippers abducted during a night vigil at St. John Catholic Church, Ojeji, in Ado Local Government Area of the state.
Sources disclosed that the victims were freed unhurt following sustained search and rescue operations mounted by security operatives in the area.
In connection with the incident, two suspects, Abubakar Jibril and Ashiru Ibrahim, were earlier arrested on Feb. 11, 2026, by the Divisional Police Officer (DPO) in Ado. The suspects were reportedly found in possession of five rounds of 7.62mm ammunition at the time of their arrest.
Further follow-up operations by the Intelligence Response Team (IRT) from Abuja, in collaboration with tactical teams, led to a raid on a hideout linked to one of the suspects. During the operation on Feb. 14, an AK-47 rifle and eight rounds of 7.62mm ammunition were recovered, while two additional suspects were arrested.
The suspects are believed to be involved in the kidnapping of worshippers during the church’s night vigil.
Authorities said investigations by the State Criminal Investigation Department (SCID) and the IRT are ongoing, with efforts intensified to track down other members of the syndicate.
Kidnapped worshippers of St. John Catholic Church regain freedom in Benue, four suspects arrested
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