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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
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
Education Gets Highest Share as Zulum Presents N890.33bn 2026 Budget to Borno Assembly
By: Michael Mike
Borno State Governor, Prof. Babagana Zulum has presented an N890.33 billion budget proposal for the 2026 fiscal year to the State House of Assembly, with the education sector receiving the largest allocation.
The budget, titled “Budget of Sustained Recovery and Growth,” places strong emphasis on capital development, with over 61 per cent of the total expenditure devoted to capital projects, while recurrent spending accounts for about 39 per cent.p
Addressing members of the House of Assembly, Zulum disclosed that the proposal comprises N353.77 billion for recurrent expenditure and N536.56 billion for capital expenditure, stressing that the spending plan is designed to deepen recovery efforts and accelerate development in the state.
According to the governor, the budget reflects the administration’s commitment to rebuilding infrastructure, revitalising the economy and improving the quality of life for residents following years of insurgency.
The sectoral breakdown of allocations showed that education tops the list with N135.43 billion. The funds are expected to support the construction and rehabilitation of schools, teacher recruitment, and scholarship programmes across the state.
The works and housing sector received N94.27 billion to fund road construction, bridge projects and housing development, while the health sector was allocated N66.41 billion for the completion of hospitals, procurement of medical equipment and supply of essential drugs.
Other key allocations include N58.71 billion for the Ministry of Reconstruction, Rehabilitation and Resettlement to facilitate the return and resettlement of displaced persons, N44.95 billion for agriculture to boost food production, and N21.35 billion for water resources projects. Funds were also set aside for information and internal security to strengthen peace and stability.
On the revenue side, the state expects N317.69 billion from the Federation Account, N44.30 billion from internally generated revenue, and N417.23 billion from capital receipts, including grants and development funds.
In his response, Speaker of the House of Assembly, Abdulkarim Lawan, assured the governor that the legislature would give the budget proposal prompt and thorough consideration to ensure it aligns with the state’s development priorities before passage.
Education Gets Highest Share as Zulum Presents N890.33bn 2026 Budget to Borno Assembly
VP Kashim Shettima Expected at Second Kanem Borno cultural summit in Maiduguri
By: Bodunrin Kayode
VP, Kashim Shettima is expected to flag off the second Bi-annual Kanem–Borno Cultural Summit 2026 taking place in Maiduguri from 1st–2nd January, 2026.
Announcing this recently, chairman of the Borno Emirate concerned citizens forum Zanna Boguma said that about 1000 other visitors from all over the world will join the VP in gracing the occasion.
He said the 1000 delegates are also expected from across the country and the world especially from several countries where kanuri people reside are coming for the summit.
“Ministers, top political figures and National Assembly members of Borno in other states will be coming including our kiths and kins in lafia and Kanam on the plateau.
” Lots of traditional stuffs will be showcased to announce that kanem Borno never fell in the hands of its enemies as is being portrayed in some quarters.
“There will be displays of cultural artifacts to entertain the visitors. Prayers will be held on Friday of that week for the success of the occasion. However, consistent prayers must continue to ensure that there is stability during the period.
In a recent world new conference, the chairman of the committee Zanna Hassan Buguma maintained that the theme for this year’s summit is ” Echoes of Resilience: Harnessing Culture for Peace and Regional Stability”
“We are pleased to formally announce the 2nd edition of the Bi-annual Kanem–Bornu Cultural Summit 2026, scheduled to hold on 1st and 2nd January, in Maiduguri, Borno State, under the theme “Echoes of Resilience: Harnessing Culture for Peace and Regional Stability.
“This Summit will serve as a global homecoming, bringing together sons and daughters of Kanem–Bornu from across Nigeria and around the world, including members of the diaspora, scholars, professionals, traditional leaders, cultural custodians, youth and women. It is a deliberate effort to reconnect our people to their shared heritage and mobilize collective wisdom, resources, and networks for the peace and stability of our region.
“Building on the success of the maiden edition, the 2nd Bi-annual Kanem–Bornu Cultural Summit seeks to deepen conversations around identity, resilience, and responsibility. At a time when the Lake Chad Basin continues to face security, humanitarian, and socio-economic challenges, this Summit positions culture as a unifying force and a strategic tool for peacebuilding, reconciliation, and regional cooperation and integration.
“The Kanem–Bornu civilization remains one of Africa’s most enduring legacies, renowned for governance, scholarship, trade, diplomacy, and coexistence across ethnic and cultural lines. For centuries, it nurtured systems that emphasized justice, tolerance, consultation, and social harmony. The Summit draws inspiration from this legacy to address contemporary challenges, reminding us that solutions to today’s crises can be found in the wisdom of our past.
” The Summit will explore how traditional institutions, indigenous conflict resolution mechanisms, cultural education, arts, language, and heritage preservation can be harnessed to counter violence, promote healing, and strengthen regional stability.
“Over the two days, the Summit will feature keynote addresses, high-level panel discussions, diaspora dialogues, youth and women forums, cultural and religious exhibitions, traditional performances, and policy-oriented sessions. Special attention will be given to diaspora engagement, knowledge exchange, investment in cultural industries, and pathways for youth participation in peace and development initiatives.
“Maiduguri, our host city, is both symbolic and strategic. It stands as a historic centre of Kanem–Bornu civilization and a contemporary symbol of courage and resilience. Hosting this Summit in Maiduguri underscores a powerful message: that the people of Kanem–Bornu, wherever they reside, remain united in purpose and committed to rebuilding, healing, and progress.” Said Dr Hassan.
VP Kashim Shettima Expected at Second Kanem Borno cultural summit in Maiduguri
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NSCDC Nabs Three Suspected Infrastructure Vandals in Abuja
Education Gets Highest Share as Zulum Presents N890.33bn 2026 Budget to Borno Assembly
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