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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
Dignitaries Gather In Borno For APC Deputy National Chairman’s Children’s Wedding
By: Our Reporter
Prominent Nigerians on Saturday converged in Maiduguri, the Borno State capital, to attend the wedding ceremony of three children of the All Progressives Congress (APC) Deputy National Chairman (North), Hon. Dr. Ali Bukar Dalori.
Gatekeepers News reports that there was heavy traffic in parts of Maiduguri as dignitaries from all works of life made frantic effort to access the residence of Dalori and the Al-Ansar Mosque, the two main venues of the wedding ceremony.
Among those in attendance were top government officials, party leaders, traditiona rulers, business moguls, and religious leaders from within and outside Borno State. The ceremony attracted a large crowd, reflecting Dr. Dalori’s political influence and wide network across the country.
Leading the array of dignitaries is the National Chairman of the APC Prof. Nentawe Yilwatda, othe members of National Woking Committee of the APC and large numbers of States Chairmen of the party .
Also in attendance were the Borno State Governor, Prof. Babagana Zulum, his Deputy, Hon Umar Kadafur , three Senators from the state- Senator Mohammed Tahir Monguno, Senator Mohammed Ndume Senator Kaka Shehu Lawan and members of the House of Representatives from Borno State
Others are the Minister of Agriculture and Food Security, Sen, Abubakar Kyari, Speaker, Deputy Speaker and members of Borno State House of Assembly , former Nigeria Ambassador to China, Ambassador Baba Ahmed Jidda, Former Minister of the Federal Capital Territory (FCT) Alh. Ibrahim Bunu, Ibrahim , Former Deputy Governors of Borno State- Ali Jatau and Adamu Dibal .
The Deputy National Chairman of the APC was full of gratitude to his guests who left their various confort zones to attend wedding of his children- Usman, Falmata and Aisha .
” I’m immensely grateful our National Chairman of APC Professor Nentawe, our amiable Governor of Borno State Prof Babagana Zulum, the Deputy Governor Umar Kadafur and the too many important personalities who came from far and near to honour my invitation, may Allah (SAW) bless you all ” Dalori said .
The wedding rites were conducted in accordance with Islamic injunctions, featuring special prayers for the couples, their families,. The atmosphere was marked by joy, unity, and cultural splendour, as guests exchanged pleasantries and goodwill messages with the host and his family
Security operatives were deployed in large numbers around the venues to maintain law and order and ensure the smooth flow of activities. Traffic control officers were also on ground to manage the influx of vehicles and guests, while emergency and protocol teams worked tirelessly to coordinate movements and logistics.
The wedding ceremony came to a successful end with a reception that featured traditional music, refreshments, and continued interactions among guests, bringing together leaders and citizens in a rare atmosphere of celebration and solidarity.
Dignitaries Gather In Borno For APC Deputy National Chairman’s Children’s Wedding
JUST IN: Boko Haram terrorists demand N423m ransom to release Borno ex-LGA vice chairman
By: Our Reporter
A new video has emerged showing two men, allegedly abducted by Boko Haram/ISWAP terrorists in Borno State, pleading for help.
One of the victims, Hon. Hassan Biu Miringa, a former Vice Chairman of Biu Local Government Area, is seen in the video appealing for rescue.
The two men were taken hostage on December 17, 2025, while traveling from Miringa to Maiduguri.
In the video, the abductees said the terrorists are demanding a ransom of $150,000 per person, totaling $300,000, for their release.
‘We were abducted on our way from Miringa to Maiduguri around 2:30. Alhamdulillah, we are alive,’ one of the victims said. ‘We are calling on the government and individuals to come to our rescue.’
The victims specifically appealed to Deputy Governor Umar Usman Kadafur, Hon. Mukhtar Betara Aliyu, Hon. Sule Ali Rimi, Hon. Yakubu Gambo Kimba, and Alhaji Musa Dogo Biu to intervene and help secure their freedom.
‘We are pleading with them to come to our rescue. We are their sons,” the victim said. ‘They said we must provide $150,000 each. For the two of us, it is $300,000. We want to be reunited with our families.’
JUST IN: Boko Haram terrorists demand N423m ransom to release Borno ex-LGA vice chairman
Nigerian Solidarity Groups Mourn Cubans Killed in Venezuela, Condemn U.S. Actions
By: Michael Mike
The Nigeria Movement of Solidarity with Cuba (NMSC) has expressed deep condolences to the government and people of Cuba following the killing of 32 Cuban internationalists in Venezuela.
In a press statement issued in Abuja on Saturday, the pro-people coalition, which includes labour unions, civil society organisations and intellectuals, alleged that the Cuban nationals were killed during an attack in Caracas on January 3, 2026, while protecting Venezuelan President Nicolás Maduro, his wife, Cilia Flores, and what it described as the sovereignty of Venezuela.
The group said the Cubans chose to resist despite being overwhelmed, describing their actions as a demonstration of courage, honour and commitment to international solidarity.
NMSC drew parallels between the incident and past historical events where Cuban nationals were involved in overseas struggles, including the 1983 U.S.-led invasion of Grenada and Cuba’s military support for African liberation movements in Angola, Namibia and South Africa during the fight against apartheid.
According to the organisation, thousands of Cuban youths lost their lives in Africa while contributing to the dismantling of apartheid systems backed by Western powers. The group noted that Cuba’s internationalism has not been limited to armed conflicts, citing the country’s long-standing medical outreach to developing nations, including Nigeria.
The statement also recalled Cuba’s response during the COVID-19 pandemic, when it dispatched medical teams to dozens of countries and received hundreds of stranded cruise ship passengers at a time many nations had closed their borders.
NMSC extended its sympathy to the families of those killed in Venezuela and called on the United States government to respect international law, halt what it described as foreign military interventions, and lift sanctions imposed on Cuba, Venezuela and other countries.
The group further aligned itself with repeated resolutions of the United Nations General Assembly calling for the end to the decades-long U.S. embargo against Cuba, insisting that global peace and development require cooperation rather than conflict.
The statement was signed by veteran labour activist and writer, Owei Lakemfa, on behalf of the Nigeria Movement of Solidarity with Cuba
Nigerian Solidarity Groups Mourn Cubans Killed in Venezuela, Condemn U.S. Actions
Dignitaries Gather In Borno For APC Deputy National Chairman’s Children’s Wedding
JUST IN: Boko Haram terrorists demand N423m ransom to release Borno ex-LGA vice chairman
Nigerian Solidarity Groups Mourn Cubans Killed in Venezuela, Condemn U.S. Actions
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