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Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

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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

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Jubilation as Borno Emerges Winner of the male category of the 2025 National Qur’anic Competition

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Jubilation as Borno Emerges Winner of the male category of the 2025 National Qur’anic Competition

By: Bodunrin Kayode

There was massive jubilation at the convocation square of university of Maiduguri as Borno State emerged as the winner in the male category of the National Qur’anic Recitation Competition tagged, ‘Borno 2025’.

Announcing the results over the weekend, the Director of the Centre for Islamic Studies at Usman Dan Fodio University, Sokoto, Professor Abubakar Yelwa, declared Musa Ahmed Musa of Borno as the winner of the male category of the competition.

Also after a ten day stiff competition, in the unimaid campus, the winner of the female category was also Hafsat Muhammad Sada of Kano State

The ten day competition, which is the 40th in the series since inception, saw 296 contestants from 30 states competing across six categories to win grand prizes.

In his remark, Borno State Governor, Professor Babagana Zulum, stated that the successful hosting of the 2025 Qur’anic competition signalled the return of peace to the state.

He noted that the event symbolised the people’s commitment to peace, education, and the pursuit of knowledge which were key factors of development.

“To host this milestone 40th edition is not just an honour for Borno State, it is a profound affirmation of our enduring commitment to peace, education and the noble pursuit of knowledge, particularly the divine wisdom contained within the Holy Qur’an.

“Borno State remains resolute in its mission to rebuild, restore peace and prioritise education, both secular and religious.

“The successful hosting of this national event is a clear signal to the world. Borno is back, Borno is safe and Borno is a centre for learning and spiritual growth,

“To those who have emerged as the ultimate champions in their respective categories, I offer my most profound congratulations.

“Your success is not merely a victory in a competition, it is a crowning achievement born of countless hours of discipline, commitment, and reverence for the Word of Allah.

“And to every young man and woman who participated, who stood before the judges and recited from the Holy Book, I want you to know that you are all winners.

“The true spirit of this competition lies not just in the prizes won, but in the noble pursuit of knowledge and the courage to participate.” Said Zulum.

Governor Zulum also expressed appreciation for the support of the Vice President, Senator Kashim Shettima; his wife, Hajiya Nana Shettima; Governors and their deputies; royal fathers; Usman Dan Fodio University; and other prominent personalities who contributed to the success of the occasion.

Also speaking, Prof Attahiru Jega Pro Chancellor, Usman Dan Fodio university Sokoto said he believes that the whole exercise is about knowledge passed from generation to generation adding that the 40th celebration of the activity is a celebration of excellence that is worthwhile.

Chair of the local organizing committee (LOC) and secretary to the Borno State government, Tijani Bukar said he was excited that the program ended in peace and those who participated were happy with the officiating and entire conduct of the occasion.

The event was attended by Wife of the Vice President, Hajiya Nana Kashim Shettima; the Governor of Katsina State, Alhaji Dikko Umoru Radda; the Sokoto State Deputy Governor; the Shehu of Borno, Alhaji Abubakar Ibn Umar Garbai El-Kanemi; other traditional rulers; members of the National and State Assemblies; the APC Deputy National Chairman; commissioners; Islamic scholars; and other dignitaries.

High points of the event was the presentation of gifts to the winners by wife of the Vice President, Hajiya Nana Kashim Shettima.
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Sunday Olatuyi: NUJ Demands Prosecution of Killer Driver

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Sunday Olatuyi: NUJ Demands Prosecution of Killer Driver

By: Michael Mike

The Nigeria Union of Journalists (NUJ), FCT Council has called for the prosecution of the reckless driver who killed one of its members, Sunday Olatuyi of Advocate Broadcasting Network (ADBN Television).

The Council in a statement by its Secretary, Comrade Jide Oyekunle, said it received with shock and deep sorrow the untimely death of one of its committed members, Mr. Sunday Olatuyi, who lost his life after being hit by a Toyota Corolla with the registration number ABUJA RBC 128 AM at Lugbe Bus Stop, Abuja.

According to the Secretary, the unfortunate incident occurred on Saturday night, December 20, 2025, at the Lugbe Bus Stop, where he was reportedly knocked down by a reckless driver while heading home after closing from work.

He was said to have been accompanied by a friend at the time of the incident.

Olatuyi, aged 40, hailed from Odo-Oro Ekiti, Ikole Local Government Area of Ekiti State. He is survived by his wife, a seven-month-old daughter, Eniola, and his aged mother.

Until his death, Olatuyi worked with Advocate Broadcasting Network (ADBN Television) as a Senior Cameraman. He was formerly with Ben TV.

The statement read: “It is a painful loss to the NUJ FCT family and to all who knew him as a dedicated professional and union man. His commitment to the ideals of journalism and his active participation in union activities will be greatly missed. His passing leaves a vacuum that will be difficult to fill.

“Mr. Olatuyi’s untimely death is tragic and unfortunate, especially given the circumstances surrounding the incident, and it calls on the relevant authorities to ensure that justice is served.

“The NUJ FCT Council condemns in strong terms the circumstances that led to this tragic incident and expresses grave concern over the growing cases of reckless driving and disregard for human lives on our roads, particularly within the Federal Capital Territory.

“In view of this unfortunate development, the Council demands an immediate, thorough, and transparent investigation into the incident and calls on the Nigeria Police Force to promptly prosecute the driver involved in accordance with the law. Justice must not only be done but must also be seen to be done, to serve as a deterrent to others.

“The NUJ FCT Council extends its heartfelt condolences to the immediate family he left behind, the management and entire staff of ADBN Television, the Correspondents’ Chapel, the Society of Practicing Cameramen, as well as friends and colleagues of the deceased.

“The Council assures the bereaved family of its solidarity and support during this difficult time and pledges to continue following up on the case until justice is served. May his gentle soul rest in perfect peace. Amen.”

Sunday Olatuyi: NUJ Demands Prosecution of Killer Driver

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Tinubu commissions Borno’s projects, says Zulum’s performance exceptional

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Tinubu commissions Borno’s projects, says Zulum’s performance exceptional

By: Michael Mike

President Bola Ahmed Tinubu on Saturday commissioned three newly constructed mega schools and a fleet of 620 fully electric vehicles and tricycles delivered by the governor of Borno State, Professor Babagana Umara Zulum.

During the commissioning ceremony, which was performed separately, President Tinubu commended Governor Zulum for his transformative leadership.

The president said: “I congratulate the Governor and the people of Borno State for this transformation. Government is all about people, and Professor Zulum is doing a very good job of caring for people.” 

The president highlighted the projects as tangible evidence of effective governance and a blueprint for holistic state development.

The commissioned schools include Mafoni Day Secondary School, Bola Ahmed Tinubu Government Day Secondary School and Mafoni Primary School.

They are part of Governor Zulum’s ambitious 104 Mega School Initiative designed to drastically improve access to quality education and rebuild the sector after over a decade of insurgency.

Each of the facilities is equipped with modern classrooms, laboratories, libraries, sports facilities and an administrative complex to create a conducive learning environment.

The president also commissioned the international terminal of the Muhammadu Buhari International Airport, Maiduguri, in preparation for the commencement of international operations.

Governor Zulum, in his response, expressed gratitude for the federal government’s support and reiterated his administration’s commitment to rebuilding Borno’s infrastructure, economy and human capital.

The event was attended by federal and state officials, traditional rulers and community leaders.

President Tinubu concluded his state visit by attending the wedding ceremony of former Borno State Governor Sheriff’s son, conducted at the Maiduguri Central Mosque.

Tinubu commissions Borno’s projects, says Zulum’s performance exceptional

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