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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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Zulum Spends Night Coordinating Security in Pulka

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Zulum Spends Night Coordinating Security in Pulka

… Disburses Cash, Palliative to over 30,000 Ngoshe, Pulka Households

By: Michael Mike

Borno State Governor spent the entire Saturday night coordinating security activities in Pulka following the recent attacks in Ngoshe, Pulka and other communities in Gwoza.

This is the first time a sitting governor has slept in Pulka, a community 22 kilometres from Gwoza.

Governor Zulum held a security meeting with the Brigade Commander, military officers, security personnel, and civilian JTF to discuss strengthening security in the general area.

He said leadership is all about commitment and sacrifice which has been the hallmark of his administration since he assumed office.

“Leadership is not about living in your comfort zone and addressing people and their concerns, but coming directly to the doorsteps of the less privileged. This has been my tradition, this has been my culture since I assumed duty as the governor of the state,” Zulum said.

“I cannot remember when I lived consecutively for 10 days in my office or even one week since I assumed duty. I’m always in the remote areas attending to people, and I believe this is what we should do from now on to the end of my own administration,” he added.

… Zulum Disburses Cash, Palliative to over 30,000 Ngoshe, Pulka Households

Governor Babagana Umara Zulum has distributed cash, food, and non-food items to over 30,000 affected households of Ngoshe and Pulka communities.

The relief item is intended to provide succor to victims of the recent attack and to the host communities.

“Each male and female heads of household in Ngoshe will receive N30,000, while married women will receive N20,000. In addition, mattresses and clothing will be distributed to both men and women,” Zulum announced.

The governor disclosed that the intervention would also cover Pulka community which has been impacted by the influx of displaced persons from neighbouring areas.

He further acknowledged the support of the Federal Government and Alhaji Aliko Dangote, who donated 30,000 bags of 10kg rice to support vulnerable populations in the state.

“Out of the 30,000 bags, Pulka community will benefit from the scheme. We are distributing both food and non-food items not only to Ngoshe but also Pulka, which is also a displacement-affected community,” Zulum noted.

Governor Zulum called on residents of affected communities in Gwoza to remain patient and cooperate with security agencies, assuring them of sustained efforts by both the federal and state governments to restore lasting peace.

“They should give the necessary cooperation to all security agencies with a view to identifying culprits within the society. Information is a very valuable tool for addressing insecurity. Without the support of the community, insecurity will never end,” he added.

Items distributed include rice, maize, guinea corn, mattresses, and plastic mats.

Those on the governor’s entourage include Senator Mohammed Ali Ndume, member representing Gwoza, Damboa, and Chibok at the national assembly, Hon. Ahmed Jaha, Chairman Palliative Distribution Committee and member representing Monguno, Nganzai, Marte, Hon. Bukar Talba, member representing Gwoza state constituency; Commissioners for Local government and that of Transport and Energy; Special Advisers and other government officials.

Zulum Spends Night Coordinating Security in Pulka

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Nigeria Calls for Stronger Africa–Latin America Alliance at CELAC Forum

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Nigeria Calls for Stronger Africa–Latin America Alliance at CELAC Forum

By:Michael Mike

Nigeria has urged deeper cooperation between African and Latin American nations, stressing that stronger partnerships among countries of the Global South are essential to navigating growing global uncertainty and building more balanced international relations.

Speaking at the CELAC–Africa High-Level Forum in Bogotá, Nigeria’s Minister of Foreign Affairs, Yusuf Maitama Tuggar, called on leaders from both regions to intensify collaboration in key sectors including technology, agriculture, education, energy and culture.

Community of Latin American and Caribbean States — commonly known as CELAC — is a regional organization that brings together countries from Latin America and the Caribbean to promote political dialogue, economic cooperation, and regional integration.

Tuggar, who represented President Bola Ahmed Tinubu at the gathering, described the forum as a timely opportunity for Africa and Latin America to redefine their role in a rapidly changing global landscape. He praised Colombian President Gustavo Petro for convening the meeting at a moment marked by geopolitical tensions and economic disruptions across the world.

According to the minister, the consequences of global conflicts and instability are increasingly felt by developing nations, even when such crises occur far beyond their borders. He therefore urged countries in both regions to take a more coordinated approach in shaping international outcomes that promote peace, economic resilience and shared prosperity.

Tuggar said Africa and Latin America must strengthen their collective voice in global affairs to challenge systems that have historically disadvantaged developing economies. He emphasized that stronger South–South cooperation could unlock new opportunities for trade, innovation and sustainable development.

Highlighting Nigeria’s priorities for deeper engagement, the minister pointed to growing prospects in agriculture, solid minerals, renewable energy and emerging technologies. He also stressed the need for both regions to actively participate in the development of transformative technologies such as Artificial Intelligence, warning that the Global South must not be left behind in the next wave of technological advancement.

Tuggar reaffirmed Nigeria’s longstanding commitment to international cooperation through initiatives such as the Technical Aid Corps, which has deployed Nigerian professionals to Caribbean countries for nearly four decades. He said the programme reflects Nigeria’s broader commitment to strengthening ties with partners across Latin America and the Caribbean.

On economic cooperation, the minister highlighted Nigeria’s position as Africa’s largest market and underscored opportunities for investment in agro-processing and food production. He noted that Nigeria is implementing policies aimed at achieving food self-sufficiency while expanding fertiliser production to support farmers and boost agricultural output.

Beyond economic ties, Tuggar also stressed the importance of cultural exchange and creative industries as powerful tools for deepening connections between the two regions. He called for expanded collaboration in arts, education, digital innovation and intellectual property development.

Addressing wider global challenges, the minister advocated stronger joint action on climate change, improved healthcare access and increased technology transfer to developing countries. He also reiterated Nigeria’s position on the need for greater accountability in addressing illicit financial flows from developing economies and renewed calls for historical reparations linked to the legacies of slavery and colonialism.

The CELAC–Africa High-Level Forum, organised under the framework of the Community of Latin American and Caribbean States, brought together leaders and senior officials from Latin America, the Caribbean and Africa from March 20 to 21 to explore ways of strengthening political, economic and cultural cooperation between the two regions.

Tuggar concluded by urging participants to seize the moment to build stronger interregional partnerships capable of unlocking economic potential and advancing a more equitable global order.

Nigeria Calls for Stronger Africa–Latin America Alliance at CELAC Forum

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CSO Condemns Alleged Sexual Violence Against Women at Ozoro Festival, Demands Justice

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CSO Condemns Alleged Sexual Violence Against Women at Ozoro Festival, Demands Justice

By:Michael Mike

A civil society organisation, Speak Out for Justice Advocacy (SOJA), has strongly condemned the alleged sexual violence against women and girls during a cultural festival in Ozoro, describing the reported incident as a grave violation of human rights and Nigerian law.

In a press statement issued on Sunday, the organisation said it was deeply disturbed by reports that women and young girls were stripped, publicly humiliated and sexually assaulted during the festival, which allegedly took place on March 19.

SOJA said that although authorities have reportedly made arrests in connection with the incident, the seriousness of the allegations requires urgent, transparent and decisive action to ensure justice for the victims.

The organisation noted that if confirmed, the acts would amount to criminal offences under Nigerian law and also represent a breach of the country’s international human rights obligations to protect the dignity and safety of women and girls.

“No cultural practice, festival or traditional expression can justify sexual violence, degradation or the violation of bodily autonomy,” the statement said.

SOJA cited several international human rights instruments that protect women from violence and degrading treatment, including the United Nations-backed Universal Declaration of Human Rights and the Convention on the Elimination of All Forms of Discrimination Against Women.

It also referenced the African Charter on Human and Peoples’ Rights and the Maputo Protocol, which affirm the rights of women to dignity, safety and protection from all forms of violence.

According to the organisation, Nigeria’s domestic legal framework equally prohibits such acts, citing provisions of the Constitution of the Federal Republic of Nigeria and the Violence Against Persons (Prohibition) Act, which criminalise sexual assault, degrading treatment and psychological abuse.

SOJA stressed that the alleged actions, if proven, represent sexual violence and gender-based abuse, cruel and degrading treatment, and a failure of protective state mechanisms.

The organisation warned against attempts to justify violence against women under cultural or traditional practices, stressing that culture must operate within the limits of law and human dignity.

“Any cultural practice that strips women of dignity is unlawful, unconstitutional and unacceptable,” the statement added.

The group called on the Federal Government, the Delta State Government and law enforcement agencies to ensure the thorough and speedy prosecution of all suspects already arrested, while also identifying and prosecuting other perpetrators and accomplices.

It further demanded immediate medical, psychological and legal support for victims, as well as an independent inquiry into the incident and the systemic failures that allowed it to occur.

SOJA also urged authorities to strengthen enforcement of the Violence Against Persons (Prohibition) Act across the country and to work with traditional institutions to eliminate harmful cultural practices.

The organisation recommended the establishment of preventive monitoring mechanisms for public festivals and gatherings to prevent similar incidents in the future.

SOJA’s Executive Director, Hameed Jimoh, in the signed the statement, said the events in Ozoro should serve as a turning point for stronger accountability and national reflection on the protection of women’s rights.

He stressed that the dignity, safety and bodily integrity of every woman and girl must remain non-negotiable.

“Justice must prevail,” he said.

CSO Condemns Alleged Sexual Violence Against Women at Ozoro Festival, Demands Justice

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