Connect with us

News

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

Published

on

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

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

Borno Flood: Kashim Imam Begins Distribution of Cooked Meals to Victims

Published

on

Borno Flood: Kashim Imam Begins Distribution of Cooked Meals to Victims

By: Michael Mike

Former President Olusegun Obasanjo’s Parliamentary Liaison Officer, Alhaji Kashim Imam has volunteered to provide meals to large number of people displaced by recent flood the submerge more than half of Maiduguri, the Borno State Capital and its environs.

Imam, who is also a former Chairman of the Board of Trustees (BOT) of the Tertiary Education Trust Fund (TETFund), under President Muhammadu Buhari’s administration on Wednesday said the gesture became imperative in order to present many residents of the state who had been thrown into discomfort as result of the devastating flood, which has resulted in unprecedented devastation, with over 30 lives lost, 23,000 residential houses destroyed, and 414,000 people displaced, critical infrastructure, including bridges, roads, electricity systems, healthcare facilities, and schools, severely damaged, including approximately one million people losing their source of livelihood.

Imam. who is known for his philanthropic acts have had to relocate to Maiduguri to supervise the distribution to internally displaced persons camps accommodating the victims of the disaster in Maiduguri and its environs.

According to Imam who spoke during a brief press conference, “We are saddened by the shared numbers of lives lost, by our account, it’s running into hundreds and sadly their bodies are being discovered daily as water recedes. The carnage, the loss of lives, the loss of properties and unimaginable displacements.

“The immediate emphasis is on food, I have seen people crying they haven’t eaten in two days and this is an immediate concern of everybody, as water recedes and we count our losses then these other challenges will also come to the fore.

“In line with the appeal of Governor Zulum, we elected to focus on alleviating the suffering of those affected by providing food and water with immediate effect so I am happy to inform you that I am providing a total of 200,000 food packs we have already commenced with an average of 6,000 a day and we wish to scale to 10,000 packs every day,” Imam said.

Imam, who was at different times the gubernatorial candidate of the People’s Democratic Party (PDP) in the state before joining the All Progressives Congress (APC) said the food distribution is only the first step in his intervention pointing out that “ there are short, medium and long time plans of assisting the flood victims “.

He lamented that: “Almost every indigene of Borno is sad and saddened by the devastation that has befallen my home town Maiduguri . We are saddened by the sheer number of lives lost, which by all accounts running into hundreds. Nobody can give you exact accurate figures. Still and sadly there are bodies that are being discovered daily as the water recedes. Sadly nobody has the most accurate figures. It is very factual that it runs into hundreds of lives lost.

“Thousands of people are homeless. All there homes have been destroyed by the floods; nobody was prepared for this; our poele were caught unawares in the middle of the night. The floods came in the middle of the night and all accounts points at between midnight and half past midnight. Most people were already home in bed and most were asleep. All were caught unawares. Nobody saw this coming and nobody was prepared for this. The carnage, the lost of life, the loss of properties is enormous. Those that were rescued managed to escape with the cloths that they were wearing. And if you go round the metropolis, out of the 15 wards in Maiduguri, only four were not affected. Eleven were badly affected. In some of these wards, more than a week after people are still trapped they cannot come out.

Fatima Imam, one of the daughters of Imam who was part of the group that oversee the food packaging, revealed that members of her family have continued to work round the clock to ensure cooked food reaches all the victims.

She said: “We try to feed as many people as possible every day- sometimes we cook rice, stew and beef while other times Jollof rice. We cook at least 20 bags of rice every day – we sleep by 4 am and wake up by 6 am just to make sure we get food across to the flood victims.”

Borno Flood: Kashim Imam Begins Distribution of Cooked Meals to Victims

Continue Reading

News

NA BURIES LATE BRIG GEN BB TETE IN HIS HOME TOWN WITH FULL MILITARY HONOURS

Published

on

NA BURIES LATE BRIG GEN BB TETE IN HIS HOME TOWN WITH FULL MILITARY HONOURS

By Our Reporter

In line with the rich military customs, ethics and tradition, the Nigerian Army (NA) buried one of its finest senior officer late Brig Gen BB Tete who died recently after a protected illness in a solemn ceremony held on 18 September 2024 in his home town of Bakin Kogi-Kanikon in Jemma’a Local Government Area of Kaduna State. The funeral afforded senior military officers both serving and retired the opportunity to pay their last respect to one of their distinguished and finest colleagues.
The funeral brings together military elites and dignitaries from across the country.

In the late senior officer’s funeral oration read by the representative of the Chief of Army Staff, Brigadier General MT Jinadu who stood in for the General Officer Commanding 1 Division Nigerian Army Major General Mayirenso Lander David Saraso. The COAS described the late senior officer as a highly resourceful, disciplined, regimented and hardworking gentleman whose integrity was beyond reproach. “He was a man of impeccable character and unwavering dedication,” he remarked. He also highlighted the late senior officer’s ability to leave a mark of excellence in every assignment he undertook. He further emphasized that late Gen Tete’s patriotism and moral standards were exemplary, earning him the respect and admiration of both his peers, superiors and subordinates alikes.

The COAS further mentioned that late senior officer’s demise will be deeply felt not only by his immediate family but the entire Nigerian Army and the nation at large adding that his legacy of forthrightness and vast experience in the military will be greatly missed. He prayed to the Almighty God to grant him eternal rest and give the family the fortitude to bear the irreparable loss.

The funeral ceremony witnessed an impressive turnout of very senior military officers serving and retired including the former Chief of Defence Staff Gen ML Agwai and coursemate of the deceased senior officer as well as serving and retired senior officers of the Nigerian military. Together, they all gathered to honour and paid their last respect to a man whose life was defined by service, commitment and an unwavering sense of duty to humanity and his country.

NA BURIES LATE BRIG GEN BB TETE IN HIS HOME TOWN WITH FULL MILITARY HONOURS

Continue Reading

News

Former Deputy Governor Sympathizes with Yobe Govt

Published

on

Former Deputy Governor Sympathizes with Yobe Govt

By: Mamman Mohammed

The Executive Governor of Yobe state Hon. Mai Mala Buni CON today received in audience former Deputy Governor of the state Engr. Abubakar D. Aliyu CON, who paid a sympathy visit on the Governor at Government House Damaturu.

Engr. Aliyu , who is also a former Minister of Power described the Mafa attack as senseless and grossly insane, and prayed to Allah to grant the victims eternal rest in Aljannatu Firdaus.

He also condoled with the families of the deceased and prayed quick recovery for those who sustained injuries in the attack.

Governor Buni commended the former Deputy Governor for finding time to visit him to commiserate with the government and people of the state.

“It is a collective loss for all of us. I sincerely appreciate your concern and sympathy to the government and families of the victims of the attack” Buni said.

He assured the commitment of government to providing security to the people of the state, especially those in the border communities who are vulnerable to cross border crimes.

Former Deputy Governor Sympathizes with Yobe Govt

Continue Reading

Trending

Verified by MonsterInsights