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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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NHRC Honours Ford Foundation for Sustained Support to Human Rights in Nigeria

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NHRC Honours Ford Foundation for Sustained Support to Human Rights in Nigeria

By: Michael Mike

The National Human Rights Commission (NHRC) has honoured the Ford Foundation for its sustained contributions to advancing human rights in Nigeria, reinforcing a partnership that has played a critical role in strengthening access to justice and institutional capacity.

At a ceremony held Friday at the Commission’s headquarters in Abuja, the NHRC presented an Award of Appreciation to the Foundation in recognition of its longstanding support.

The award was received by the Foundation’s Regional Director for West Africa, ChiChi Aniagolu-Okoye, during a high-level engagement with directors and senior officials of the Commission.

Speaking at the event, the Executive Secretary of the NHRC, Dr. Tony Ojukwu commended the Ford Foundation’s consistent backing, particularly in initiatives aimed at expanding access to justice and strengthening the Commission’s operational capacity.

He stressed that given the breadth and complexity of human rights challenges in Nigeria, the Commission cannot function in isolation.

According to him, sustained collaboration with development partners remains essential to transforming human rights protection from policy intentions into tangible outcomes for citizens.

In her remarks, Aniagolu-Okoye described the recognition as both significant and encouraging, reaffirming the Foundation’s commitment to promoting human rights. She noted that a key focus of the Foundation’s work is ensuring that citizens are not only aware of their rights but are also supported in seeking justice when those rights are violated.

She, however, emphasized that awareness alone is insufficient without strong and effective enforcement systems. Gaps between knowledge of rights and actual access to justice, she said, can weaken public trust and diminish the impact of human rights initiatives.

“Trust in institutions grows when people experience fairness and accessibility in justice delivery,” she noted, adding that strengthening such systems is critical for sustainable human rights protection.

The engagement also underscored the importance of continued cooperation between the Commission and its partners in addressing evolving human rights challenges across the country.

In a vote of thanks, Senior Human Rights Adviser to the Commission, Hilary Ogbonna, expressed appreciation for the Ford Foundation’s enduring partnership. He highlighted key institutional advancements, including initiatives such as the MOVE project and the Commission’s dashboard system, noting that many of these efforts benefitted from the Foundation’s early support.

Ogbonna also commended the leadership of the Executive Secretary and the dedication of the Commission’s directors, whose commitment, he said, has sustained progress despite operational constraints.

He further acknowledged the role of the media as a vital partner in the human rights ecosystem, describing the press as the “fourth estate” that amplifies, documents, and brings critical human rights issues to public attention.

The event reaffirmed the shared commitment of the NHRC and its partners to strengthening justice delivery systems and enhancing the protection of human rights in Nigeria.

NHRC Honours Ford Foundation for Sustained Support to Human Rights in Nigeria

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Borno APC Stakeholders Endorse Tinubu, Shettima for 2027, Signal Early Political Realignment

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Borno APC Stakeholders Endorse Tinubu, Shettima for 2027, Signal Early Political Realignment

By: Michael Mike

In a move that underscores early political positioning ahead of Nigeria’s next general elections, key stakeholders of the All Progressives Congress (APC) in Borno State have formally endorsed President Bola Ahmed Tinubu and Vice President Kashim Shettima for a second term in 2027.

The endorsement, announced during a high-level gathering at the Government House Multipurpose Hall in Maiduguri on Saturday, signals a consolidation of political support in one of the APC’s strongest northern bases. Party leaders, government officials, and influential grassroots mobilizers unanimously pledged to rally voters across the state to ensure the continuity of the Tinubu administration.

Addressing the stakeholders, Borno State Governor Babagana Umara Zulum described the endorsement as both a vote of confidence in the current administration and a strategic commitment to sustaining ongoing reforms. He emphasized that the Tinubu-Shettima leadership had demonstrated resolve in tackling Nigeria’s complex security and economic challenges.

According to Zulum, Borno State—long at the epicenter of insurgency—has witnessed renewed federal attention in security coordination, humanitarian interventions, and reconstruction efforts. He noted that continuity in leadership would be critical to consolidating these gains, particularly in the North-East where recovery from years of conflict remains fragile.

“The support for President Tinubu and Vice President Shettima is rooted in performance and trust,” Zulum said. “Borno has seen firsthand the impact of leadership that understands our realities and is committed to long-term stability.”

Borno’s Strategic Role in APC Politics

Borno State holds significant political weight within the APC, not only as a consistent electoral stronghold but also as the political base of Vice President Shettima, a former governor of the state. Since the party’s formation in 2013 and its landmark victory in the 2015 elections, Borno has remained central to APC’s dominance in the North-East.

The state’s political influence is further amplified by its frontline status in Nigeria’s fight against insurgency. Years of conflict involving Boko Haram and ISWAP insurgents have shaped national security policies and elevated Borno’s importance in federal decision-making. As a result, endorsements from the state often carry symbolic and strategic significance for national campaigns.

Political analysts view the early endorsement as part of a broader effort by APC stakeholders to stabilize internal party structures and project unity well ahead of the 2027 elections. It also reflects a growing trend of pre-election alignments aimed at discouraging intra-party rivalries and consolidating incumbency advantages.

Momentum Builds Toward 2027

Saturday’s declaration comes amid ongoing national debates over economic reforms, security challenges, and governance priorities under the Tinubu administration. While opposition parties are expected to intensify criticism in the coming years, the APC appears to be laying the groundwork for a coordinated re-election campaign.

Stakeholders at the Maiduguri meeting pledged to embark on extensive grassroots mobilization, voter engagement, and party strengthening initiatives across all local government areas in Borno. They also called on other APC-controlled states to replicate similar endorsements to build a nationwide consensus.

As Nigeria moves deeper into its current electoral cycle, the Borno endorsement highlights how regional political blocs are already shaping the contours of the 2027 race—long before official campaigns begin.

Borno APC Stakeholders Endorse Tinubu, Shettima for 2027, Signal Early Political Realignment

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Southern Borno Youths Rally Behind Ndume with N38.5m War Chest for 2027 Senate Bid

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Southern Borno Youths Rally Behind Ndume with N38.5m War Chest for 2027 Senate Bid

By: Michael Mike

In a powerful demonstration of political loyalty and grassroots mobilisation, thousands of youths from Southern Borno Senatorial District on Saturday pooled N38.5 million to back the fifth-term ambition of Muhammadu Ali Ndume ahead of the 2027 general elections.

The fundraising event, held at Forshams Hall in Maiduguri, attracted more than 2,000 participants drawn from all nine local government areas of the district. The contributors, largely youth groups and community associations, said their financial commitment was a deliberate move to retain what they described as a “fearless and people-driven legislator” in the Senate.

Leading the initiative, youth coordinator Alhaji Babandi Shehu said the intervention was not merely symbolic but a calculated political statement at a time when, according to him, Nigeria needs courageous voices in governance.

“Senator Ndume has distinguished himself as one of the few leaders who consistently speaks truth to power,” Shehu declared. “This is not just about funding forms; it is about safeguarding representation that prioritises the people and holds the executive accountable.”

The atmosphere at the venue reflected a rare level of political consensus, with chants of solidarity and pledges of continued support echoing throughout the gathering. Participants insisted that Ndume’s track record in both legislation and constituency development justifies their early and collective endorsement.

Reinforcing this position, Ndume’s Senior Legislative Aide, Junaid Jibril Maiva, outlined what he described as a legacy of impactful service spanning over a decade. He noted that the senator has sponsored more than 70 bills focused on national development while also facilitating landmark federal institutions in Southern Borno and the wider North-East.

Among these, he listed the Nigerian Army University, Biu, the North East Development Commission, and the Federal College of Education, Gwoza, as well as ongoing efforts to establish a Federal Medical Centre in Kwaya-Kusar and a Federal College of Agriculture in Shani.

Maiva further highlighted Ndume’s role in humanitarian interventions, particularly in communities devastated by insurgency. “Beyond legislation, he has directly supported resettlement efforts, including the construction of 200 housing units in Gwoza and 80 in Damboa for displaced families,” he said.

A breakdown of the funds raised showed a broad-based contribution pattern across the district. Biu, Kwaya-Kusar, Hawul, Bayo, and Shani collectively donated N8 million, Askira-Uba contributed N5 million, while Damboa added N2 million. Additional support came from trade and transport groups, including the Nigeria Union of Road Transport Workers and the Baga Road Timber Sellers Association, each donating N1 million.

Political observers say the scale and timing of the mobilisation point to a well-entrenched support base and a strategic effort to secure early momentum ahead of the 2027 race. The move also reflects a broader trend of pre-election alignment within the All Progressives Congress, as key actors position themselves for what is expected to be a highly competitive electoral cycle.

A Career Shaped by Advocacy and Controversy

Since his election to the Senate in 2011, Ndume has remained one of the most outspoken members of the National Assembly of Nigeria. Representing a region at the heart of Nigeria’s insurgency crisis, he has consistently pushed for stronger federal intervention in security, reconstruction, and humanitarian response.

His tenure has been marked by a willingness to challenge authority—even within his own party—earning him both admiration and criticism. Supporters view him as a principled advocate for accountability, while critics argue that his confrontational style sometimes stirs political tension.

Nonetheless, Saturday’s event suggests that within Southern Borno, his influence remains firmly intact.

Early Signals for 2027

With the 2027 elections still over a year away, the fundraising initiative underscores how political structures are already taking shape across Nigeria. For Ndume’s supporters, the message is clear: continuity, experience, and assertive representation are non-negotiable.

As the crowd dispersed in Maiduguri, one sentiment stood out—this was more than a fundraiser. It was an early declaration of intent, a grassroots-powered endorsement that could set the tone for the political battles ahead.

Southern Borno Youths Rally Behind Ndume with N38.5m War Chest for 2027 Senate Bid

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