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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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Nigeria, EU Strengthen Strategic Alliance with New Investments, Security and Climate Cooperation

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Nigeria, EU Strengthen Strategic Alliance with New Investments, Security and Climate Cooperation

By: Michael Mike

Nigeria and the European Union have reaffirmed their strategic partnership and announced new areas of cooperation spanning trade, security, climate action, digital transformation and development investments following the Eighth Nigeria–EU Ministerial Dialogue held in Abuja.

The high-level meeting was co-chaired by Nigeria’s Minister of Foreign Affairs, Yusuf Maitama Tuggar, and the EU High Representative for Foreign Affairs and Security Policy, Kaja Kallas.

In a joint communiqué issued after the dialogue, both sides described the meeting as an important opportunity to consolidate longstanding relations built on friendship, mutual respect and shared values, particularly at a time of global geopolitical uncertainty.

They reaffirmed their commitment to expanding cooperation in ways that deliver tangible benefits to citizens while contributing to a more stable, prosperous and sustainable international order.

Nigeria and the EU reiterated their support for multilateral cooperation, democracy, human rights and the rule of law, stressing the need to protect fundamental freedoms including gender equality, freedom of expression, freedom of religion and protection against discrimination.

The EU also reaffirmed its support for reforming the United Nations Security Council to make it more inclusive, transparent and representative, particularly by strengthening the voice of African countries.

Both parties expressed support for peaceful resolutions to conflicts around the world, including in Ukraine, the Middle East, Sudan, South Sudan, Democratic Republic of the Congo, the Sahel and Somalia, emphasizing the importance of respecting international law, sovereignty and territorial integrity.

Both sides reaffirmed their commitment to implementing the Paris Agreement on Climate Change and advancing climate action through stronger cooperation on renewable energy and energy transition.

Discussions highlighted Nigeria’s strong potential for solar, wind and clean hydrogen energy, with both partners agreeing to enhance investments and collaboration in these sectors.

They also pledged to strengthen climate resilience and adaptation efforts for vulnerable communities, particularly those affected by environmental pressures in the Lake Chad Basin.

On Regional Security and West Africa, the

EU acknowledged Nigeria’s critical leadership role in promoting democracy, peace and stability in West Africa. Both sides agreed to strengthen cooperation on regional security challenges, particularly threats emanating from the Sahel.

The dialogue also emphasized deeper collaboration in counter-terrorism, intelligence sharing, capacity building and efforts to prevent terrorism financing, while supporting regional mechanisms such as the Economic Community of West African States security architecture.

On Trade and Investment Relations, the

EU remains Nigeria’s largest trading and investment partner, with Nigeria benefiting from preferential access to European markets under the Generalised Scheme of Preferences (GSP).

Both sides welcomed progress following the first Nigeria–EU Senior Officials’ Trade and Investment Dialogue held in Abuja in September 2025, which aims to facilitate trade, diversify exports and attract new investments.

They also discussed the importance of implementing Rules of Origin under the GSP framework and welcomed Nigeria’s progress toward adopting legislation on Geographical Indications, which could help protect and promote Nigerian products internationally.

Looking ahead, both parties confirmed that the 10th Nigeria–EU Business Forum will take place in Lagos on June 25, 2026.

A major highlight of the dialogue was the EU’s continued investment in Nigeria through the Global Gateway strategy, which supports sustainable infrastructure, digital transformation and economic development.

In 2025 alone, the EU committed €73 million in grants for projects including digital infrastructure, democracy support and the fight against gender-based violence.

In addition, €555 million in loans from the European Investment Bank were mobilised to support small and medium enterprises in sectors such as healthcare, digital services and agri-food value chains.

One flagship initiative highlighted was the Omi-Eko electric waterways transportation project in Lagos, which received €361 million in funding from the EU, the European Investment Bank and France under the Team Europe approach.

New initiatives announced during the meeting include €50 million in European Investment Bank financing to support healthcare manufacturing, €85 million for agricultural value chains focused on dairy and cocoa, and €108 million for a nationwide fibre-optic expansion project to strengthen Nigeria’s digital infrastructure.

Both sides also welcomed the launch of negotiations toward a Nigeria–EU Science, Technology and Innovation Agreement, which will expand research collaboration under the EU’s Horizon Europe programme.

Educational cooperation is also expanding through Erasmus+ and the Intra-African Mobility Scheme, with Nigeria ranking first in Africa for the number of students receiving Erasmus Mundus joint master’s scholarships.

In the digital sector, both partners agreed to deepen cooperation under the EU–Nigeria Digital Economy Package, focusing on digital infrastructure, cybersecurity, e-governance, data exchange, space technologies and digital entrepreneurship.

Both sides agreed to continue holding annual ministerial dialogues, with the ninth Nigeria–EU Ministerial Dialogue scheduled to take place in Brussels in 2027.

The EU delegation also expressed appreciation to the Nigerian government for hosting the meeting and reaffirmed its commitment to strengthening the strategic partnership with Nigeria across political, economic and technological sectors.

Nigeria, EU Strengthen Strategic Alliance with New Investments, Security and Climate Cooperation

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ECOWAS, AU Push Green Ports Agenda to Cut Maritime Emissions in Africa

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ECOWAS, AU Push Green Ports Agenda to Cut Maritime Emissions in Africa

By: Michael Mike

The Economic Community of West African States (ECOWAS) and the African Union have stepped up efforts to drive Africa’s transition to sustainable maritime systems, convening a high-level continental workshop in Abuja to align strategies on green ports development and maritime decarbonization.

The two-day Continental Validation Workshop on Green Ports Guidelines and Maritime Greenhouse Gas Emissions Reduction brought together senior policymakers, maritime institutions and technical experts from across Africa at the ECOWAS headquarters to deliberate on the implementation of the Revised African Maritime Transport Charter and strengthen the continent’s response to climate challenges in the maritime sector.

Opening the session, ECOWAS Director of Transport Chris Appiah stressed the need for Africa’s maritime industry to adapt to global sustainability trends without compromising trade efficiency and development priorities.

“Efficiency, operational capacity and trade facilitation must remain at the core of Africa’s response, even as the continent advances towards greener maritime systems,” he said while speaking on behalf of the President of the ECOWAS Commission, Omar Alieu Touray.

Appiah reaffirmed ECOWAS’ commitment to strengthening maritime governance, upgrading port infrastructure and supporting member states in building resilient and competitive transport systems.

From the continental perspective, the Head of Maritime Transport at the African Union Commission, Raissa‑Julie Ada Allogo, called for stronger coordination among African countries to ensure the continent speaks with one voice in global maritime negotiations.

“This is the time for Africa to speak with one voice to ensure that the transition towards decarbonization remains inclusive, realistic and aligned with the capacities of our Member States,” she said.

Allogo highlighted the importance of the Revised African Maritime Transport Charter, describing it as a key instrument for modernising maritime governance and strengthening cooperation across African maritime institutions.

Regional maritime organisations also weighed in on the discussions. The Secretary-General of the Maritime Organisation of West and Central Africa (MOWCA), Paul Adalikwu, said green port development should be seen not only as an environmental necessity but also as a strategic investment that could enhance efficiency and competitiveness across African ports.

Similarly, the Secretary-General of the Maritime Organisation for Eastern, Southern and Northern Africa (MOESNA), Kassim Kaziba Mpaata, urged African countries to strengthen maritime capacity in order to reduce dependency on external systems and better withstand global disruptions.

Adding a regulatory perspective, the Secretary-General of the Abuja Memorandum of Understanding on Port State Control, Sunday M. Umoren, stressed that adherence to international maritime standards is critical to maintaining Africa’s role in global shipping networks and avoiding higher operational costs.

Development partners also reaffirmed support for the initiative. Speaking on behalf of the German Agency for International Cooperation (GIZ), Bekele Essete Abebe described ports as the backbone of global supply chains and emphasised that investments in sustainable and resilient port infrastructure are essential for Africa’s economic transformation.

“Ports remain the backbone of global supply chains, and investing in sustainable and resilient port infrastructure is central to Africa’s economic transformation and climate response,” she said.

Technical sessions during the workshop focused on validating a Handbook and Guidelines on Green Ports in Africa, developed through consultations across member states. The framework identifies priority actions including renewable energy integration, electrification of port operations, digitalisation, emissions monitoring, climate resilience and adoption of cleaner fuels.

Experts noted that the transition to green ports should be viewed not simply as an environmental initiative but as a broader economic and operational transformation that can improve efficiency, strengthen trade competitiveness and enhance resilience across African maritime systems.

The workshop continued with working sessions aimed at consolidating member states’ inputs and developing a coordinated roadmap for implementing the guidelines across the continent.

Officials said the outcome of the meeting is expected to strengthen Africa’s maritime governance framework, improve port performance and position the continent as a proactive actor in the global shift toward sustainable and decarbonised maritime transport.

ECOWAS, AU Push Green Ports Agenda to Cut Maritime Emissions in Africa

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ECOWAS Deploys Long-Term Election Observers to Benin Ahead of Presidential Poll

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ECOWAS Deploys Long-Term Election Observers to Benin Ahead of Presidential Poll

By: Michael Mike

The Economic Community of West African States (ECOWAS) has deployed a Long-Term Election Observation Mission (LTEOM) to the Benin ahead of the country’s presidential election scheduled for April 12, 2026, as part of efforts to support a credible and peaceful electoral process.

The deployment was authorised by the President of the ECOWAS Commission, Omar Alieu Touray, in line with regional legal instruments guiding democratic governance and election monitoring within the West African bloc.

According to a statement issued by ECOWAS’ Directorate of Communication in Abuja, 15 election experts drawn from ECOWAS member states will remain in Benin from March 22 to April 18, 2026, observing key phases of the electoral process before, during and after the vote.

The observers possess expertise in constitutional law, diplomacy, electoral operations, political affairs, media, conflict prevention, gender and inclusion, and security, enabling them to conduct a comprehensive assessment of the electoral environment.

ECOWAS said the long-term observers will monitor developments across all regions of Benin, providing early analysis and recommendations aimed at preventing tensions and strengthening public confidence in the electoral process.

“Their analyses will serve as early-warning and rapid-response mechanisms to help prevent and manage any conflict linked to the elections,” the regional body said.

As part of the mission’s operational structure, ECOWAS will establish a situation room to track political and security developments nationwide and provide daily updates to the ECOWAS Commission. The mechanism will also support coordination ahead of the deployment of a Short-Term Election Observation Mission, which is expected to include about 100 observers closer to election day.

The mission is being deployed in line with key regional instruments including the 1993 Revised ECOWAS Treaty, the 1999 Mechanism for Conflict Prevention, Management and Resolution, and the 2001 Additional Protocol on Democracy and Good Governance, which guide the bloc’s role in supporting democratic processes across West Africa.

ECOWAS noted that the long-term observation mission follows a pre-election fact-finding mission that visited Benin from January 7 to 17, 2026, where delegates engaged government officials, political parties, civil society organisations and the country’s electoral management body, the Autonomous National Electoral Commission of Benin (CENA).

The findings of that mission were submitted to the ECOWAS Commission to guide preparations for the broader observation effort.

By deploying the mission, ECOWAS said it was reaffirming its commitment to supporting transparent, credible and peaceful elections in Benin while promoting democracy, good governance, peace and stability across West Africa.

Founded in 1975, the Economic Community of West African States is a regional bloc of 12 member states, working to promote economic integration, political stability and development across the region. The organisation also plays a key role in election observation, mediation and conflict prevention as part of its mandate to safeguard democratic governance in West Africa

ECOWAS Deploys Long-Term Election Observers to Benin Ahead of Presidential Poll

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