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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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Yobe: NBA condemns alleged assault on lawyer by police in Damaturu

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Yobe: NBA condemns alleged assault on lawyer by police in Damaturu

By: Yahaya Wakili

The Nigerian Bar Association (NBA), Damaturu branch, under the leadership of its chairman, Ahmad Khalil, Esq., has strongly condemned the alleged assault on one of its members, Muhammad Muhammad Saminu, Esq., by officers of the Damagum Police Division.

In a formal petition made available to newsmen in Damaturu and submitted to the Commissioner of Police, Yobe State Command, Emmanuel Ado, the branch described the incident, which reportedly occurred on February 23, 2026, as a serious violation of constitutional rights and an attack on the administration of justice.

According to the association, Mr. Saminu was at the Damagum Police Division in the lawful discharge of his professional duties as counsel to a detained client when he was allegedly assaulted.

The Nigerian Bar Association claims that the Divisional Police Officer, CSP Muhammad Abdullahi Baffah, and officers under his command subjected the lawyer to hostility, physical assault, and degrading treatment within the station premises; it is further alleged that he sustained injuries and damage to his personal property during the incident.

The NBA Damaturu branch further stated that, if the allegations are confirmed, the actions would amount to violations of the constitutional rights to dignity, personal liberty, and a fair hearing.

The association emphasized that interference with a lawyer performing professional duties undermines the rule of law and public confidence in the justice system.

The branch has demanded an immediate, independent, and transparent investigation into the matter. It is also calling for the suspension of officers found to be involved, appropriate disciplinary action in line with the Nigerian Police Act, and prosecution where criminal liability is established.

The Association further requested a written response from the police command within seven days.

The NBA reiterated its commitment to defending the rule of law and ensuring the protection of legal practitioners in the discharge of their duties. Adding to that, further developments are expected as the Yobe State Police Command responds to the petition.

While contacting the Police Public Relations Officer (PPRO), Yobe state command SP Dungus Abdulkarim said the case is put to investigation as the commissioner of police meets with MBA today in his office.

Yobe: NBA condemns alleged assault on lawyer by police in Damaturu

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Renowned Adire Artisan, Grandma Sikira Adunni Aladire, Dies at 90

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Renowned Adire Artisan, Grandma Sikira Adunni Aladire, Dies at 90

By: Michael Mike

A prominent traditional tie-and-dye artist and respected community figure, Grandma Sikira Adunni Aladire, has died at the age of 90.

She passed away in the early hours of Monday, March 2, 2026, at her residence in Ile Toki, located at No. N1/506 Balogun Ibikunle Street, Ayeye, Ibadan. She was buried the same day in accordance with Islamic rites.

Widely known by her popular nickname, “Sikira Aladire,” the nonagenarian built a reputation for excellence in the traditional Yoruba art of Adire (tie and dye). She began her training in the craft in the mid-1950s, during Nigeria’s pre-independence era, and went on to become one of the most recognized artisans in her community.

Her intricate patterns and culturally inspired designs drew admirers from far and near. Historical accounts from family members indicate that colonial officials and foreign visitors frequently visited Ile Toki to purchase her fabrics, contributing to the area’s growing reputation as a hub for high-quality tie-and-dye production. Some of her products were reportedly exported abroad, showcasing the artistic heritage of Ibadan and the wider Yoruba culture.

Beyond her craftsmanship, Grandma Sikira was described as a devout Muslim and a custodian of Yoruba traditions. She was also known for her love of Apala and Dundun music, often entertaining neighbors with her graceful dance steps at social gatherings.

Family members said she remained committed to her faith, family, and community throughout her lifetime, leaving behind a legacy of creativity, resilience, and service.

She is survived by her children — Late Sarah Alimi, Abibat Alimi, Suleiman Azeez, and Latifat Balogun — as well as grandchildren, great-grandchildren, siblings, and other extended family members.

The 7-day Fidau prayer is scheduled to hold at 12 noon on Sunday, March 8, 2026, at her residence in Ile Toki, Ayeye, Ibadan.

Family members prayed for Allah’s forgiveness for her shortcomings and asked that she be granted Al-Jannah Firdaus.

Renowned Adire Artisan, Grandma Sikira Adunni Aladire, Dies at 90

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World bank boss commends Zulum for massive investment in education

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World bank boss commends Zulum for massive investment in education

By: Bodunrin Kayode

The World Bank Country Director for Nigeria, Dr Mathew Verghis, has commended Governor Babagana Zulum for his massive investment in the education sector which to him is the very foundation for development.

He described Borno as a State of resilience, history and long term scholarship which is why he is not surprised that education has become a front burner investment which has come to stay.

The World Bank boss made the remark during the commissioning of the Maimusari primary and junior secondary school Mairi on Monday in the presence of the Governor and several dignitaries who witnessed the occasion.

Dr Verghis noted that the commissioning of 104 mega schools so far in the state is a continuation of the legacy and scholarship that has been associated with the renowned Kanem Borno Empire.

Verghis called on the students to ask questions to enable them make progress and “dream” very well to get to the very essence of seeking for an education which is the reason for being in school.

Earlier, the World Bank boss had commissioned some legacy projects executed by the administration of Governor Babaganda Zulum before arriving Mairi in jere council area.

The projects, comprising a flyover bridge, three state-of-the-art mega schools and three dual-carriageway road projects, represents Zulum’s giant strides in Borno’s post-insurgency urban renewal and human capital development agenda.

He stated during one of the events that, “We have seen today many of the programmes that Governor Zulum is leading and where the World Bank is supporting, and we are proud to do that and will continue to do so.

“We will continue to work with the government of Borno State, the Federal Government of Nigeria, and the communities and families who are the true architects of this country’s future.

“These schools are more than buildings; it is a testament, it says to every young person in this community, your future matters, it says to every girl who was told that school was not for her, we disagree, it says all this to every family that has endured hardship and anxiety and uncertainty.” said Verghis.

The newly commissioned educational facilities included the 30 classrooms Government Secondary School, Maimusari, Mairi; the 30 classrooms Mega Primary School, Maimusari and the Classrooms Command Secondary School, Maiduguri.

Other projects commissioned were the West End flyover bridge, the 1.53 km Sultan Mainalari Dual Carriage Road, the 2.3 km Bursari Dual Carriage Road and the 2.4 km Shehu Sanda Kura Dual Carriage Road.

Responding, Zulum highlighted some of the milestones achieved by his administration, including equitable access to quality education, infrastructure and urban renewal, economic growth and efforts on climate change.

He stressed that “Today’s commissioning of Maimusari Junior Secondary School, Mairi, alongside other mega school facilities, represents a major achievement in our education recovery and expansion efforts. These modern 30 classroom mega schools are designed to provide equitable access to quality education, particularly for orphans, vulnerable children, and those affected by conflict.

“The urgency of these investments is reflected in findings from the World Bank-supported Recovery and Peace Building Assessment, which revealed that over 5,000 classrooms were destroyed, leaving approximately 2.2 million children out of school at the peak of the crisis.

“In response, our administration has constructed 104 new schools and rehabilitated 2,931 classrooms and related facilities. These interventions have reduced the number of out-of-school children by over 70 per cent, bringing the figure to fewer than 800,000, while school enrolment has increased to over 1.4 million children as at December 2025.

“To sustain school enrolment and retention, particularly among children from vulnerable households, our administration has implemented comprehensive support measures since 2019. These include the provision of over 20 million exercise books, 2 million textbooks, 1.5 million sets of school uniforms, 700,000 school bags, and other essential learning materials.

“In addition, our school feeding programme supports approximately 50,000 pupils annually, while the distribution of 10,000 bicycles has improved access to education for students in rural communities. These interventions reflect our unwavering commitment to removing barriers to education and ensuring that no child is left behind.

“In response to the large number of out-of-school youth who have exceeded conventional school age, our administration has prioritised Technical and Vocational Education and Training (TVET) as a pathway for skills acquisition and economic empowerment. We have established five Vocational Enterprise Institutes, three Second-Chance Women and Girls Skills Entrepreneurship Schools, and reactivated nine vocational training centres across the State.

“In addition, we have undertaken reforms to modernise the Tsangaya education system while preserving its rich heritage. As part of this initiative, we are establishing Higher Islamic Colleges in each of the 27 local government areas, with 20 already completed, alongside the introduction of basic literacy, numeracy, English Language proficiency, ICT, and technical and vocational skills to equip learners with competencies relevant to today’s world.

“Beyond education, our administration continues to invest significantly in critical infrastructure to support urban renewal and economic growth. Today, you commissioned 7.44 kilometres of dual carriageway, 14.86 kilometres of drainage infrastructure, and our third flyover bridge.

” In total, we have constructed four flyovers, with another currently underway, alongside approximately 412.603 kilometres of roads and 108.97 kilometres of drainage systems across the State.” said the Governor.

World bank boss commends Zulum for massive investment in education

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