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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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Experts Push Structured Islamic Estate Planning to Protect Wealth, Prevent Family Disputes

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Experts Push Structured Islamic Estate Planning to Protect Wealth, Prevent Family Disputes

By: Michael Mike

Legal, financial and Islamic scholars have urged Nigerians to embrace structured Islamic estate planning, warning that informal and undocumented wealth transfer practices continue to expose families to conflict, asset loss and prolonged court battles.

The call was made in Abuja at the 8th Annual Islamic Estate Planning Clinic, themed “From Informality to Legacy: Structuring Islamic Wealth Transfer.” The event was organised by The Metropolitan Law Firm in partnership with First Trustees Limited and Al-Ameen Trustees Limited.

Speakers at the forum stressed that increasing reliance on verbal agreements and family-based arrangements often undermines the intentions of asset owners and creates avoidable disputes among beneficiaries.

Managing Partner of The Metropolitan Law Firm, Hajia Ummahani Amin, said many Nigerian families fail to document their estate plans, leading to mismanagement and outcomes that contradict Islamic inheritance principles.

She explained that estate planning enables individuals to organise their affairs ahead of death and ensure their wishes are carried out in line with both legal and religious requirements.

“Leaving assets with relatives or friends without proper documentation has resulted in serious challenges for many families,” Amin said.

She noted that while Islamic law provides clear inheritance guidelines, individuals are permitted to allocate up to one-third of their estate through structured instruments such as wills, trusts and endowments. According to her, these tools are essential for protecting beneficiaries and sustaining long-term family legacies, especially as Nigeria adjusts to digitalisation and emerging tax reforms.

Delivering the keynote address, Professor Isa Pantami, Co-Chairman of the African Union’s 4th Industrial Revolution Policy Council, called for a shift from informal practices to properly documented, Sharia-compliant estate planning systems.

Pantami said verbal agreements are unreliable and often fuel disputes, adding that structured wealth transfer is both a legal necessity and a religious obligation in Islam.

He advocated the use of modern technologies, including blockchain-based systems, to secure wills and estate documents, while also highlighting challenges such as delayed will-writing, undocumented property ownership and cultural practices that conflict with Islamic inheritance laws.

Chairperson of the Better Life Programme for the African Rural Woman, Dr Hajiya Aisha Babangida, emphasised the need for sustained public education on Islamic financial instruments.

She noted that tools such as waqf (Islamic endowment), trusts and Sukuk could be leveraged to support education, infrastructure and community development if properly understood and utilised.

“Awareness and education are critical,” she said. “Structured planning helps families preserve wealth while contributing to broader social development.”

Also speaking, Associate Director of First Trustees Limited, Mr Abimbola Ajinibi, identified cultural misconceptions as a major obstacle to effective estate planning among Muslims.

He explained that many wrongly assume Islamic inheritance laws eliminate the need for wills, whereas individuals retain discretionary powers over a portion of their estate.

“Failure to plan often results in intestate estates and lengthy probate processes, which can cost as much as 10 per cent of the estate value,” Ajinibi said.

He added that estate planning goes beyond wills to include trusts, gifts and powers of attorney designed to ensure smooth wealth transition.

On regulatory developments, Rotimi Obende of First Trustees highlighted the impact of tax reforms effective from January 1, 2026, noting that income generated from estates and trusts is now subject to reporting and taxation.

“Although inheritance transfers remain largely unaffected, income earned during estate administration must be declared,” he said, adding that proper structures help ensure taxes are assessed on net income.

Representative of Al-Ameen Trustees Limited, Ms Mutiat Olatunji, underscored the importance of regulated, faith-based trustees in ensuring ethical, transparent and Sharia-compliant estate management.

She said professional trusteeship plays a critical role in regulatory compliance and responsible wealth stewardship for both private beneficiaries and community development initiatives.

Participants concluded the clinic by urging Nigerians to combine religious guidance with legal expertise, professional trusteeship and modern technology to secure their families’ futures.

They agreed that structured Islamic estate planning is vital not only for preserving wealth, but also for promoting social stability, accountability and intergenerational prosperity.

Experts Push Structured Islamic Estate Planning to Protect Wealth, Prevent Family Disputes

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NDLEA Arrests China-Bound Businessman With 95 Cocaine Wraps at Kano Airport, Busts Drug Syndicates Nationwide

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NDLEA Arrests China-Bound Businessman With 95 Cocaine Wraps at Kano Airport, Busts Drug Syndicates Nationwide

By: Michael Mike

The National Drug Law Enforcement Agency (NDLEA) has arrested a 62-year-old Lagos-based businessman, Nwabueze Izueke, at the Mallam Aminu Kano International Airport (MAKIA) for attempting to traffic cocaine to China.

Izueke was intercepted last Saturday, during the outward screening of passengers travelling to China via Addis Ababa on Ethiopian Airlines flight ET940. A body scan revealed that he had ingested illicit drugs, after which he was placed under medical observation.

According to a statement on Sunday by the spokesman of the anti-narcotics agency, Femi Babafemi, he later excreted 95 jumbo-sized wraps of cocaine, weighing a total of 1.589 kilogrammes, over seven separate excretions. The suspect told investigators he deals in clothing and automobile spare parts in Lagos and claimed he ventured into drug trafficking to raise funds to complete a house he is building in his hometown, Iwollo, Enugu State.

In Abuja, NDLEA operatives recovered 627.7 kilogrammes of skunk from a makeshift warehouse located within Fums Plaza, Kubwa, Federal Capital Territory. The agency also foiled an attempt to smuggle methamphetamine concealed inside MP3 speakers from Enugu to Abuja and Kaduna. The drugs were intercepted in a commercial bus laat Friday.

A follow-up operation led to the arrest of Ebube Okeke in Zuba, FCT, with 173 grammes of methamphetamine. Three other suspects—Evans Ugwu, Mohammed Arinze and Friday Michael—were arrested the following day in Kaduna while attempting to collect another consignment weighing 28 grams.

In Taraba State, NDLEA officers at the Dan-Anacha patrol point in Gassol Local Government Area intercepted a 32-year-old suspect, Yusuf Abubakar, conveying yogurt packs from Lagos to Mubi, Adamawa State. A search of the consignment uncovered 1.8 kilogrammes of methamphetamine concealed in some of the yogurt packs.

Meanwhile, in Oyo State, NDLEA operatives arrested a 29-year-old Beninoise, Shuaibu Abdulrahman, at Ibudo-Igboho village, Sooro Kishi, with 149.6 kilogrammes of skunk hidden inside rice shafts. In a separate operation in Ibadan, officers arrested Adeniyi Adeola, popularly known as “Prince,” at Agbeni Market and recovered over 10,800 ampoules of pentazocine injections and 117,820 capsules of tramadol from his truck.

Also in Ibadan, NDLEA dismantled a synthetic cannabis production facility in Badeku area, arresting a drug kingpin, Jimoh Nurudeen, 40, and his accomplice, Ogundipe Yusuf, 27. Recovered items included precursor chemicals, skunk, production equipment, ₦7.4 million in cash and two vehicles.

In Kwara State, NDLEA intercepted a fuel tanker travelling from Lagos to Maiduguri and recovered 395,400 capsules of tramadol concealed within the truck. The driver was taken into custody.

Further arrests were recorded in Imo State, where a couple was apprehended with 203 kilogrammes of skunk, and in Ondo State, where 420 kilograms of skunk were recovered from a bush in Ikun Akoko. In Lagos, 31 wraps of cocaine were seized from a suspect arriving from Côte d’Ivoire by boat, while another suspect was arrested on Lagos Island with 3.6 kilograms of Canadian Loud and Colorado.

In Enugu, NDLEA operatives arrested a 37-year-old drug dealer and recovered various quantities of skunk, methamphetamine, cocaine, molly and cash from his residence.

The agency also sustained its War Against Drug Abuse (WADA) sensitisation campaigns across schools, communities and traditional institutions nationwide during the period.

Commending officers involved in the operations, NDLEA Chairman and Chief Executive Officer, Brig. Gen. Buba Marwa (Rtd), urged personnel across the country to remain committed and professional in the fight against drug trafficking and abuse.

NDLEA Arrests China-Bound Businessman With 95 Cocaine Wraps at Kano Airport, Busts Drug Syndicates Nationwide

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VP Shettima To Chair National Economic Council Conference To Drive Inclusive Growth

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VP Shettima To Chair National Economic Council Conference To Drive Inclusive Growth

By: Our Reporter

The Federal Government will on Monday convene the National Economic Council (NEC) Conference to strengthen Nigeria’s economic coordination and accelerate inclusive growth across all states of the federation.

Governors of the 36 states and key national stakeholders will attend the conference.

Scheduled for February 9 and 10, 2026, and holding at the Banquet Hall of the Presidential Villa, Abuja, the conference is being convened by the Minister of Budget and Economic Planning, Sen. Abubakar Atiku Bagudu.

The theme of the conference is “Delivering Inclusive Growth and Sustainable Development: The Renewed Hope National Development Plan.” It is expected to produce far-reaching policy direction for the states as they align with the Federal Government’s long-term economic agenda.

According to the Permanent Secretary of the Federal Ministry of Budget and Economic Planning and Secretary of the NEC, Dr. Deborah Oko Odo, the conference will address pressing macroeconomic priorities.

“The conference will focus on national economic issues aimed at encouraging economic growth and development across the country,” she said.

Vice President Kashim Shettima, who chairs the National Economic Council, will preside over the two-day summit, which will feature deliberations on fiscal coordination, investment mobilisation, and shared development strategies between the federal and state governments.

President Bola Ahmed Tinubu will serve as the Special Guest of Honour, while other top government officials, development partners, and private-sector leaders are expected to participate in the conference as the federal government works to deepen its reforms under the Renewed Hope Agenda.

VP Shettima To Chair National Economic Council Conference To Drive Inclusive Growth

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