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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.”
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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
Global Leaders Inspire Youth Action on Digital Education at LASSMUN 2026
By: Michael Mike
A powerful coalition of global and national leaders has challenged Nigerian students to take ownership of the future, as the Lagos Secondary Schools Model United Nations (LASSMUN) 2026 opened with a resounding focus on digital transformation, equity, and sustainable development.
At the heart of the gathering was a clear message: young people are not just participants in tomorrow’s world—they are already shaping it.
Delivering a keynote message, António Guterres underscored the United Nations’ unwavering belief in the capacity of youth to drive meaningful change. He told delegates that Model UN platforms are more than academic exercises—they are training grounds for leadership, diplomacy, and problem-solving in an increasingly complex world.
He emphasized that building a better future demands stamina, courage, and a deep commitment to fairness, urging students to always center the needs of the most vulnerable in their decision-making.
The Lagos State Commissioner for Basic and Secondary Education, Jamiu Tolani Alli-Balogun, reinforced the importance of education as a cornerstone of national progress, describing LASSMUN as a strategic investment in the next generation of leaders.
He highlighted ongoing efforts by the state government to strengthen education systems through innovation, infrastructure, and policies that promote critical thinking and character development. According to him, the discipline and engagement demanded by Model UN simulations mirror real-life governance and should inspire students to lead with integrity and purpose.
Providing a broader intellectual perspective, Efosa Osaghae, represented by Prof. Joshua Bolarinwa, said digital transformation holds immense promise for addressing global inequalities in education. However, he warned that without deliberate policies to ensure inclusiveness, technology could deepen existing divides.
He called for sustained investments in digital infrastructure, improved access, and stronger policy frameworks to ensure that no learner is left behind in the rapidly evolving knowledge economy.
The Director of the United Nations Information Centre Abuja, Ronald Kayanja, took the message further, reminding participants that youth are already central to global efforts on peace, climate action, and sustainable development.
He urged delegates to embrace dialogue, tolerance, and cooperation—core values of the United Nations—while also developing the critical ability to distinguish facts from misinformation in an increasingly polarized information landscape.
Earlier, LASSMUN President Damilola Ogunsanwo set the tone for the conference, describing it as a transformative experience that instills discipline, collaboration, and respect for global processes.
Also speaking, Tutor-General/Permanent Secretary of Education District III, Mrs. Mojisola Christiana Yusuf, emphasized that Model UN bridges classroom learning with real-world application, equipping students with essential skills such as negotiation, public speaking, and teamwork.
Adding a development perspective, Ms. Genevieve Chukwuezi, representing the United Nations Development Programme Lagos Office, highlighted how technology proved indispensable during the COVID-19 pandemic, ensuring continuity in learning despite widespread school closures.
She stressed that digital transformation must go beyond access to technology, focusing instead on innovation, scalability, and the ability to translate ideas into practical solutions that drive economic and social progress.
In a striking intervention, the conference Secretary-General, Praise Oyekunbi, cautioned against superficial adoption of technology, warning that digital tools without equitable access risk entrenching injustice rather than solving it.
“Technology without equity is not progress—it is exclusion,” she declared, drawing attention to the urgent need for inclusive digital policies.
With debates and committee sessions underway, LASSMUN 2026 is shaping up as more than a conference—it is a platform cultivating a new generation of informed, responsible, and globally conscious leaders ready to confront the defining challenges of the 21st century.
Global Leaders Inspire Youth Action on Digital Education at LASSMUN 2026
News
Stakeholders Call for Stronger Enforcement, Early Intervention to Curb School Bullying in Nigeria
Stakeholders Call for Stronger Enforcement, Early Intervention to Curb School Bullying in Nigeria
By: Michael Mike
Stakeholders from government agencies, civil society, security institutions, and the education sector have called for urgent early intervention, stronger enforcement of anti-bullying policies, and expanded youth empowerment programmes to address rising cases of bullying in Nigerian schools.
They made the call at a Stakeholder Consultative Dialogue on Anti-Bullying in Nigerian Schools convened by International Alert Nigeria on Friday in Abuja, where experts warned that bullying is increasingly becoming a major driver of mental health challenges and broader social risks among young people.
NDLEA links bullying to drug abuse risks
Chairman of the National Drug Law Enforcement Agency (NDLEA), Brig.-Gen. Mohammed Marwa, warned that persistent bullying could expose young people to substance abuse and other harmful coping behaviours.
Represented by Henrietta HoldGod of the agency’s Counselling and Psychosocial Support Unit, he said victims of bullying often suffer anxiety, depression, low self-esteem, and social withdrawal.
He stressed that in some cases, affected students may resort to drugs as a coping mechanism, noting that prevention of bullying directly aligns with NDLEA’s broader preventive mandate.
“Protecting children from bullying also means protecting them from pathways that may lead to drug abuse and other harmful behaviours,” he said, adding that safer schools are essential for building resilient communities.
NAPTIP urges zero tolerance and collective responsibility
The Director-General of the National Agency for the Prohibition of Trafficking in Persons (NAPTIP), Binta Bello, described bullying as a violation of human rights that requires collective action across homes, schools, and communities.
Represented by NAPTIP Director Rebecca Enwusoyere, she called for strict zero-tolerance policies in schools, stronger parental engagement, and sustained community advocacy.
She also urged stakeholders to equip young people with skills to identify, resist, and report bullying, stressing that awareness campaigns, peer education, and safe reporting channels are critical to preventing silent suffering among victims.
Experts warn of rising mental health burden
A Senior Research Fellow in International Education and Development at the Open University, Dr. Margaret Ebubedike, said bullying had worsened in the post-COVID-19 period, with significant consequences for students’ mental health and learning outcomes.
She noted that bullying extends beyond individuals to affect families and the education system, disrupting academic engagement and undermining safe learning environments.
Citing regional data, she said between 27 and 50 percent of children in Sub-Saharan Africa experience bullying, warning that Nigeria’s situation appears more severe, with more than half of secondary school students reportedly affected.
“Tackling bullying requires a collective response involving parents, educators, policymakers, and communities,” she said.
Security agency warns of wider societal risks
The Commandant-General of the Nigerian Security and Civil Defence Corps (NSCDC), Dr. Ahmed Audi, cautioned that unresolved bullying cases could escalate into broader security threats if not addressed early.
Represented by CSC Adeoye Adegoke, he emphasised the need for early reporting systems and coordinated institutional responses to prevent escalation.
Federal Government reiterates policy commitment
The Federal Government reaffirmed its commitment to tackling bullying through the National Policy on Anti-Bullying in Schools.
Representing the Federal Ministry of Youth Development, Mrs. Augustine Udo said the policy provides a framework for accountability, protection, and enforcement, urging stakeholders to move from policy discussions to practical implementation.
She called for stronger reporting mechanisms and increased empathy among students, teachers, and parents.
The Federal Ministry of Education Nigeria also confirmed that implementation guidelines and a dedicated committee have been established to ensure nationwide rollout of anti-bullying measures across schools.
Experts push for system-wide action
Behavioural Change Communication expert, Ms. Ayotola Ilori, said data shows bullying is widespread, with about 32 percent of Nigerians aged 12 to 17 affected, while as many as 85 percent are either victims, perpetrators, or both.
She welcomed the 2025 National Anti-Bullying Policy but warned that policy design alone is insufficient without full system-level implementation across schools nationwide.
Ilori also called for coordinated action across all 774 local government areas, urging students to speak up and avoid silence when facing bullying.
International Alert calls for practical interventions
Country Director of International Alert Nigeria, Dr. Kingsley Udo, said the initiative was prompted by growing concerns over recent bullying incidents, including a widely reported case in Edo State.
Represented by Programme Manager Sunday Jimoh, he said the dialogue aimed to move beyond awareness creation to actionable policy solutions.
He noted that bullying is not limited to schools but also exists in workplaces, sports, and leadership spaces, describing it as a broader societal challenge.
Udo said the organisation is working with schools to establish Youth Peace Clubs, where students are trained in conflict resolution and the psychological impact of bullying.
He added that safe reporting systems are also being developed to ensure victims can report incidents before they escalate.
At the end of the dialogue, organisers said a communiqué and policy roadmap would be developed to guide future advocacy and strengthen government engagement on anti-bullying interventions nationwide.
Stakeholders Call for Stronger Enforcement, Early Intervention to Curb School Bullying in Nigeria
Nigerian envoy visits troops in Benin, urges professionalism
By: Zagazola Makama
The Chargé d’Affaires at the Nigerian Embassy in Cotonou, Benin Republic, Amb. Bukar Kalambe, has visited Nigerian troops deployed under Operation AWATSE African Alliance II (OPAA II), urging them to uphold professionalism and represent the country with dignity.
Thrme visit took place on April 15, 2026, at Togbin Camp, where the envoy was accompanied by the Defence Adviser, Col. S.A. Yahaya, embassy staff, and the President of the Nigerians in Diaspora Organisation (NIDO), Benin Republic branch, Alhaji Muhammad Muniru.
According to the sources, the visit was aimed at boosting the morale of the troops and reinforcing diplomatic support for the ongoing mission.During the interaction, Kalambe charged the troops to remain disciplined and committed to their mandate, while serving as good ambassadors of Nigeria.
He also assured them of continued support from the Nigerian mission in Benin Republic to ensure the success of the operation.
The Commanding Officer of OPAA II, Lt.-Col. A.A. Ikoro, later conducted the envoy on a guided tour of the camp, showcasing facilities, vehicles, and operational equipment provided by the Nigerian Army for the mission.End
Nigerian envoy visits troops in Benin, urges professionalism
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Global Leaders Inspire Youth Action on Digital Education at LASSMUN 2026
Stakeholders Call for Stronger Enforcement, Early Intervention to Curb School Bullying in Nigeria
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