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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.”
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
News
Ex-NGF Coordinator Onaiwu urges support for NSA security direction
Ex-NGF Coordinator Onaiwu urges support for NSA security direction
By: Michael Mike
A former coordinator of the Nigeria Governors Forum, NGF, Earl Osaro Onaiwu, has called on the political class across party lines to support ongoing security efforts of the federal government.
Onaiwu in a statement in Abuja on Wednesday noted that insecurity is colour blind, has no party affiliation and was religious neutral, therefore, the need for politicians to eschew partisan slant on security matters.
He cautioned that failure by the political elite to support the fight against insecurity leading to several ungoverned spaces could disrupt elections, stressing that except there is a country, then elections are guaranteed.
The former NGF coordinator particularly commended the National Security Adviser, Mallam Nuhu Ribadu, for his coordination and strategic efforts in streamlining security policies and engagements in tackling insecurity.
According to him, the recent delivery of military hardware by the United States Government to Nigeria is a demonstration that the NSA was working and his recent foray to the U.S. is yielding the desired results.
“The season requires patriots and this means that irrespective of party affiliations, every politician worth his name needs to support ongoing security efforts as coordinated by the Office of the National Security Adviser, Mallam Nuhu Ribadu.
“Insecurity is colour blind, has no party affiliation, it is religious blind and those not respect societal status. Therefore, Nigerians, especially our political class, should lend their support, proffer solutions and galvanise the people to back the government’s security initiatives.
“Only on Tuesday, the federal government received critical military hardware from the United States Government. This is cheering and it shows that the NSA’s recent visit to the United States and the subsequent hosting of delegations in the country is bearing the desired results.
“Also, renewed military and police onslaughts against terrorists and bandits show that the federal government is taking the fight to those who are intent on denying us our peace and well-being.
“The least we can do as citizens is to support the government, provide real time intelligence from our communities and do not engage in fake news on social media against government’s efforts,” Onaiwu stated.
He further called on governors to match the energy of the federal government by supporting the NSA to address the various security challenges in their states as well as continued logistics and equipment to the military and police.
Ex-NGF Coordinator Onaiwu urges support for NSA security direction
News
Court Threatens Contempt Action Against IGP Over Alleged Disobedience in Anozie Abduction Case
Court Threatens Contempt Action Against IGP Over Alleged Disobedience in Anozie Abduction Case
By: Michael Mike
The Inspector General of Police (IGP), Kayode Egbetokun, is facing possible committal to prison following contempt proceedings initiated over an alleged failure to comply with a Federal High Court order relating to the abduction and disappearance of Mr. John Chukwuemeka Anozie.
The action was instituted by legal counsel to Mr. Anozie’s wife, Mr. Vincent Adodo, who accused the Nigeria Police Force under the leadership of the IGP of willfully disobeying a judgment delivered by the Federal High Court, Abuja, on September 24, 2025.
In the suit, marked FHC/ABJ/CS/865/2025 between Mrs. Nnenna Anozie v. Inspector General of Police, Justice Binta Nyako ordered the IGP to produce for prosecution operatives of the defunct Special Anti-Robbery Squad (SARS) alleged to have abducted Mr. Anozie from his Lekki residence in Lagos on June 15, 2017.
The court also directed the police authorities to forward the investigation report and legal advice on the matter to the Office of the Attorney General of the Federation for appropriate action.
The court further awarded ₦2 million in damages against the IGP for failing to respond to a Freedom of Information request submitted by Mrs. Anozie seeking details of investigations into her husband’s disappearance.
The SARS operatives listed in the judgment include officers attached to the former SARS unit in Akwuzu, Anambra State, who were accused of involvement in the alleged abduction.
According to court documents, despite being served with the judgment in October 2025, the IGP has neither complied with the orders of the court nor paid the damages awarded. This development prompted Mrs. Anozie’s legal team to initiate contempt proceedings by serving the IGP with Form 48 (Notice of Consequences of Disobedience to Court Order) and Form 49 (Notice of Committal to Correctional Centre).
The applicant is now seeking an order of court committing the IGP to Kuje Correctional Centre until he complies fully with the judgment.
The motion for contempt has been scheduled for hearing on February 9, 2025, before the Federal High Court, Abuja.
As of the time of filing this report, the Nigeria Police Force has not issued an official response to the contempt proceedings.
Court Threatens Contempt Action Against IGP Over Alleged Disobedience in Anozie Abduction Case
News
VP Shettima Lauds Massachusetts Tech Institute’s Impact On Global Innovation Ecosystem
VP Shettima Lauds Massachusetts Tech Institute’s Impact On Global Innovation Ecosystem
Urges African entrepreneurs to close ranks to fully harness continent’s huge potentials
By: Our Reporter
The Vice President, Senator Kashim Shettima, has lauded the transformative impact of the Massachusetts Institute of Technology (MIT) on the global entrepreneurship and innovation ecosystem that has raised over $1.5 billion dollars and created over 30,000 direct jobs in 20 years.
He, however, urged African entrepreneurs to close ranks in order to fully harness the continent’s huge potentials, leveraging MIT’s resource mobilization network and job creation opportunities.
The Vice President made the remarks on Wednesday when he received a delegation from Kuo Sharper Foundry Fellowship 2025-2026 led by MIT’s Executive Director for the Kuo Sharper Centre for Prosperity and Entrepreneurship, Dina Sherif, on a courtesy visit at the presidential villa.

Senator Shettima called for unity of purpose among African professionals and entrepreneurs, saying “Africa is the new frontier and future belongs to the continent but its people must unite to transform potentials into tangible results that impact lives and livelihoods.
“Africa is blessed with enormous human and material resources but its people must fuse into one to benefit from the tremendous opportunities that abound across the continent,” he added.

He disclosed that Nigeria President Bola Tinubu is daring to leverage available opportunities to transform the entire economy, noting that “President Tinubu is not afraid of taking bold decisions that will reposition Nigeria’s economy and better the lives of the livelihoods of the people.”
Earlier in her remarks, the leader of the delegation, Sherif, said the delegation was at the Presidential Villa to brief the Vice President on the activities of MIT’s Kuo Sharper Centre for Prosperity and Entrepreneurship, assuring that the Centre is dedicated to “fueling the engine of entrepreneurship across the world”.
She noted that the team was in Nigeria in view of the Kuo Sharper Foundry Fellowship programme, which, according to her, has helped to entrench the spirit of entrepreneurship across the continent.

Sherif underscored the significance of collaboration among African startups, noting that Nigeria is a leading country, as evidenced in the progress recorded by startups across the continent.
She further assured of improved support for African-based startups from the centre through its various initiatives.

Also present at the meeting with the Vice President were the Director General of the National Emergency Management Agency (NEMA), Mrs. Zubaida Umar, and some fellows of the Kuo Sharper Foundry Fellowship 2025 – 2026 Session across Africa.
VP Shettima Lauds Massachusetts Tech Institute’s Impact On Global Innovation Ecosystem
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