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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
The Pabir of Biu (Viu): People Lost in Ethnic and Cultural Mist
The Pabir of Biu (Viu): People Lost in Ethnic and Cultural Mist
By: Joseph SHALANGWA
I have been an ardent follower and reader of works published by NEWSng for quite some time, where some works on Bura-Pabir were published, but one interesting piece that came to the fore was “The Lingering Bura-Pabir Question (1&2),” published in 2024, which is somehow related to this article.
Therefore, this work is not to mock or disregard the Pabir as people who are ghastly lost in the mist of ethnic and cultural identity. The work is a historical enlightenment to the people of Nigeria who have routed the Bura and the Pabir as the same people, but historically no, and never are they the same. For political reasons, yes. Just like the Hausa-Fulani coinage.
I want readers to know from this day forward that there is no tribe or ethnic group independently called Babur. We have the Pabir, who are unable to stand as a tribe with distinct culture and traditions.
I am not a historian by any standard, but history and its source materials are of interest to me. I had listened to historical conversations and stories pertaining to my people—the Bura—ever since I was a boy. This has given me some knowledge and understanding of my people’s history, culture, traditions, and civilizations.
As certified technologists, one of our ways of diagnosing troubleshooting is to unscrew and screw in an attempt to mechanically solve the ailment. This is what I am briefly going to do in this work.
I have read so many works on the history of Biu people.
However, some of the writings did not dwell much on the original inhabitants of the Biu Plateau, the Bura, but rather hid in historical conspiracy theory portraying the Pabir as the true inhabitants of the Biu territory. It is not true but misleading and questionable because they left out the Aborigines, the Bura people, who are a tribe and an ethnic nation with history and cultural identity.
At this juncture, questions that will readily come to mind are: Who are the Pabir people? What are their clan names? There has been an identity crisis about the Pabir, who are today known as Babur, lost totally in ethnic and cultural fog.
My findings did not give me any historical validity that the Pabir are the original inhabitants of Biu (Viu) territory; rather, it said that a band of seventy (70) men from the Kanem empire came some hundreds of years ago. “The Bura people are the native inhabitants of the Biu Plateau with unique culture and traditions, clear clan names rooted in their history and civilizations…Musical instruments, dances, foods…” Long before the leader of the 70 men, Yamtra Wala, came onto the scene, he was called and addressed wrongly as YAMTA OLA in the Bura dialect.
Clan names like Bwayama, Dlakwa, Wudiri, Mibwala, Mhya, and Garnva, among many others, are of Bura people. This further drew the ancestral and cultural identity between the Bura and Pabir people. Funny enough, theirs are Mshelganga, Gurdum, Mazalapuwa, Kiribara, Mshelgwagwa, etc. While in the history of the Bura, there are no such clan names. In fact, these names are derived from the Bura local dialect, signifying some of their works and duties in the king’s palace. You may wish to agree with me that Pabir are a group of people who have nosedived and lost their cultural identity.
It baffles me when I see a Pabir man calling himself or herself Babur. Thus, it has further deepened their loss, which has created a historical inferiority complex in them.
This work should serve as a call to all the Babur (Pabir) to come to reality, to break the complexities of their origin, and to accept who they are historically, and to take responsibility as Pabir people, not Babur.
I am also calling on all Bura sons and daughters to continue to stand firm and proudly call and be addressed as Bura worldwide.
Joseph Shalangwa
Writes from Kaduna.
The Pabir of Biu (Viu): People Lost in Ethnic and Cultural Mist
News
VP’s Wife Consoles Maiduguri Bomb Blast Victims
VP’s Wife Consoles Maiduguri Bomb Blast Victims
Calls for united front against insurgency.
By: Our Reporter
Wife of the Vice President Federal Republic of Nigeria Mrs Nana Shettima has stressed the need for all hands to be on desk to put an end to the more than a decade insurgency in the north east .
She made the appeal while speaking to journalists in Maiduguri shortly after she visited victims of gmboru market Mosque bomb blast in the Borno State capital.
In an emotional interview, Mrs Nana Shettima, wife of the Vice‑President, speaking on behalf of First Lady Oluremi Tinubu,described barbaric suicide bomb attack that struck the Gamboru market mosque after Maghrib prayer on Wednesday as unfortunate.
She prayed for the dead, called for unity, and vowed the support of the First Lady’s office for affected families.
Mrs Nana Shettima said she was in Maiduguri to offer condolences and relief to victims and families.
She visited the homes of the bereaved in Mashamari, Ummarari Millionaire’s Quarters and Gamboru Ward, where she prayed for the deceased, asked Allah to grant them eternal rest, and sought strength for families bearing these irreparable losses.
To cushion immediate hardship, Mrs Shettima presented financial support to affected families seven widows each received ₦1,000,000 (total ₦7,000,000).
She also visited the Maiduguri State Specialist Hospital and the University of Maiduguri Teaching Hospital (UMTH), where she was shown around by Dr. Baba Shehu, Medical Director of the State Specialist Hospital, and received by Professor B. Kagu, Chairman of the Medical Advisory Council at UMTH, and Dr. Bunu Bukar.
After going round the patients beds at both hospitals Mrs Nana Shettima gave ₦500,000 to each of the 14 patients still on admission, offered words of consolation, and prayed for their speedy recovery.
The wife of the vice president reiterated her appeal for communal calm and solidarity in the face of tragedy.
The visit signals the First Lady’s office’s commitment to immediate humanitarian relief and moral support for affected families.
The visit underlines the first lady’s office commitment to spiritual consolation with practical assistance, targeting both households that lost breadwinners and those receiving medical care.
Mrs Nana Shettima confirmed she was in Maiduguri expressly on behalf of the first lady of the nation to sympathise with the victims.
Those who accompanied her includes the wife of the Borno State Governor Dr Falmata Babagana Umara Zullum,wife of the Deputy Governor Hajiya Maimuna Umar Kadafur, and the Borno State Apc women leader Hajiya Fati Alkali Kakinna among other top female government officials.
VP’s Wife Consoles Maiduguri Bomb Blast Victims
News
Police detain inspector, girlfriend over missing rifle in Taraba
Police detain inspector, girlfriend over missing rifle in Taraba
By: Zagazola Makama
The Police in Taraba have detained an inspector and his girlfriend following the reported loss of an assault rifle along the Wukari–Jootar Federal Highway.
According to the source, the missing firearm belonged to Insp. Joshua Charles, aged 45, attached to the Safer Highway Patrol team.
The sources told Zagazola Makama that on Dec. 25, at about 3:00 p.m., the inspector reportedly left his duty post to Wukari town, leaving behind three other officers Insp. Haruna Galadima, Insp. Isah Waziri and Insp. Umar Mohammed who remained on duty.
“At about 8:30 p.m., the inspector’s girlfriend, one Ruth Alphancis of Sabon Gari area in Jalingo, who has been cohabiting with him since August 2025, returned from Jootar village in Benue and claimed to have seen an unidentified person breaking out of the house,” the source said.
He added that on the inspector’s return from Wukari town, allegedly in a drunken state, he discovered that his Type 06 assault rifle, loaded with 25 rounds of live ammunition, which he said he left inside the room, was missing.
The breach number of the rifle could not be immediately ascertained, the source said.
Following the report, the sources said operatives visited the scene, while efforts were intensified to recover the missing firearm and apprehend those responsible.
“The inspector and his girlfriend are currently in detention to aid investigation, while collaborative efforts involving local residents and hunters are ongoing to recover the rifle,” the source added.
End
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